Report of the Health Department of the Panama Canal

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FOR

-I

OF

THE

AUGUST,

1917

HOWARD

cal Corps. .United States Army
SMcer, Baloa Heights, Canal Zone

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Admissions, deaths, and noneffective rates for e
of residents of Panama, Colon, and the Canal
Causes of deaths of infants by sex, color, age,
dence ..... ... .-.-.---.. ----. -.. -......-..a. -
Deaths by nationality. .-...----.....---........ .......
Birth and infant mortaility rates in the Canal Zi

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Page.
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Iloyees; deaths
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-place of resi-

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and the cities

of Paama and Colon -. -. .. .-- .... .. -.-- .... . .. .---
Causes of deaths of employees, arranged with reference to age
and length of residence on Isthmus-... ------.. --.-.---... .-
Causes of deaths of civil population (employees and nonem-
Sployees) and military, by sex, color, age and residence........
Discharges and deaths in the hospitals of the Panama Canal.....
Consolidated hospital report -- .. ------------.---.....-..---.-
Consolidated dispensary report; report of contagious diseases.....- -
Employees: Constantly sick and noneffective rates per 1,000;
number of days' treatment per admission, hospitals and quar-
tes--,....---memmsm---mm.-.----...----em..e...--------.-.em-------.
:Deaths of white Americans connected with the Panama Canal ..
Finaial statement.................. -.-.... -.- ... ....... ---- ........--

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~.THE PANAx
.. ..E'... .: :. ..RA L

... ...R Balboa Heights, Canal Zone, 8
ii. HETE HTARDING,
...oii.i....... "of The Panama Canal
......." H. isr
.. ...... Balboa Heights, Canal Zone.
...i.i.. ." ... i . . .
...... have the honor to submit the following
3SMe health department for the month o
'A' H Hl, H- key *:'repectftil1y,
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*.:. 1" GENERAL IE E ARuS.. ,.

. .. .. ..
C.H ojeath of employees and nonemployees of
S.* .....* ..* ** .. .. .ities has continued good.

.t ctoe of infantile paralysis reported last
*. ** * .. S.

a d making good recovery. The con

tlii in quarantine. Nonwcases have
...:*: ...... *. .. : and measles have c ntin
........ .. .Ancon districts. While all report .

.......... ...w d there has been a failure on the

!lr.II;K: ansoible heads of households in report
:.. ... .. .in violation of existing regular
px:,::y.. ::. "j .ma Efq .." i '\ "* < _
St-y" ":::/:.. ..i ih.^.^ a .. .. .!/ E ^CJ ^

liS^IB^W^^31:. *A eo dit.cs "hl al "ep::
18,,,,.^ ,.:h.e:.re.: ... bee aalr o h
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....ip .e d .. .........n rep rt
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k. CANAL,
DEPARTMENT,
eptember 10, 1917.

report of
f August,

the opera-
1917.

C. HOWARD,
chief Health Oficer.

the Canal Zone and

month

is in Ancon

itacts remain under
Appeared.
d prevalent in the
ed cases have been
part of parents and
ng these diseases in
Lions. This lack of

H H in.has made it necessary to take more rigid measures than
cding house-to-house inspections, closing of moving-
hus.es,.. Sunday schools, swimming pools, etc., to children,
t control these diseases before the opening of the public
u* = cases are how appearing, and it is believed the
.St ubsiding. .,
.. smallpox appeared at Balboa Quarantine on August 22

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The following statistics are based upon the total numbn6r iii

. appearing on the pay rolls of The Panama Canal and I.i .

Railroad Co. for the preceding month, which was 33,294'1,H:11

Admissions to hospitals ad-qumrters numbered 1,179

424.94,1 as compared with 334.37 for the preceding month, j.

for the corresponding month of last year. H I.

Deaths from all causes numbered 23; of these, 21werefromt

giving a rate of 7.57, as compared with 8.84 forthe precede nK1

and 2.86 for the corresponding month of last year. .*-

The constantly noneffective rate was 10.35, as compat:tt
8.98 for the preceding month, and 8.06 for the corresponding
1 ._ . ..'. .*.: .E Shi

of last year. .;Iti
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Diseases causing the highest admission rates to hospitO H

order of their numerical importance, were: (1) Venereasr diii|

(2) malaria, (3) organic diseases of the heart, (4) influeiza.. id
chronic nephritis. These five diseases caused 30 per cenf.j.
el *' .l : .. ..'" "-.:

admissions to hospitals, venereal diseases alone causing 12 jer

and malaria 10 per cent of all admissions. .
A r* .. 4 r**::
The admission rate for malaria, hospitals and quarters, 's I

as compared with 19.52 for the preceding month, and 29.90iSaiv
corresponding month of last year. The constantly noneffecl n

for malaria was 0.58, as compared with 0.83 for the precedJ

and 1.13 for the corresponding period of last year. "S
By race.-For'disease only, the admission rate to hospitaksi"II

death rate for white employees, were 273.85 and 2.47, re..

as compared with 279.01 and 7.47 for the preceding In .-E

228..79 and 0.00 for the corresponding month of last year. Vd

employees, for disease only, the admission rate to hospital i

death rate, were 132.96 and 8.44, respectively, as conitC

96.79 and 9.07 for the preceding month, and 99.98 and 3

corresponding month of last year. 't*
The constantly noneffective rates were 16.88 for whiwt

for black employees. H '"

The admission rate to hospitals and quarters for ma'iat" .*
for white and 19.84 for colored employees, as compared .... S

for white and 14.69 for colored employees for the precei .

and 55.23 for white and 26.03 for colored employees forl ..

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......n ""occurred during the month, 31 of which were from
a rate d6f 15.47 from disease alone, as compared with
fithw preceding month, and 8.12for the corresponding month

mammmmmm mlmm mm'ci eR '
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eths from disease, 39 per cent
i.o years 61 age, as compared with 4
4ieven births were reported during
si; of these births, 18 were white and
,a deaths occurred among children
l, giving an infant mortality rate,
I reported for the month of,0.00 for
lio with a general average of 170.
tie total births reported, 11 per cent'

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occurred among children
7 per cent for last month.
the month, giving a rate
29 colored.
under 1 year of age, all
based on the number of
vhite and 276 for colored

were stillbirths.

PANAMA,

. tiuulation of the city, as shown by the health department
II. fjune, 1917 is 61,369; in this population is included approx-

'n...'...' _, ., .
S'18-,000 employees of The Pa~na~ma. anaj. From this popli-
r.140 deaths occurred during the month; 135 of which were
.. e, giving a rate of 26.40 from disease alone, as compared

,,,.3,9 for the preceding month, and 28.43 for the corresponding
a a.t t las.t year.
,#lii.i* he. total deaths from disease, 52 per cent occurred among
flJlye under 5 years of age, as compared with 60 per cent for last
iiHiii RIL, *" *

Principal causes of deaths as compared with last month,

were

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es various:organs* 30 23
.*. i =aum ii mi maNm memw e m weim m 4 e i ma i im me m imem mm. '
( u and broncho) ---------------------- --- 25 15
. =i. * H I
..*HI .. .. *
A .....m* ........

'4
!iJ u'
* .ifi,

* . I

" Iadred and twenty-five (225)
l, giving a rate of 44.00. Fif
children under 1 year of age,
S d on the number of births
S.: *-

births were reported during
ty-four (54) deaths occurred
, giving an infant mortality
reported for the month, of

Ii

Ii
i,

..X

WI ...." .*" .** .'.' "
precedig monttht, ad' au hi
tesponding month of latl: ar ..
Of thd deaths front direae, 56
under 5 years of age, as compared
m o frth '' : .. .
The prinefal daiises of death
as follower .

I.fl.* * :'!'^ f
t : .." ...
^S .. .i .* .
fIS ;:=?. -*** .
.,
*.L *kr.aI ..
: .. 7,:" *
.*'7 * H*
' ** *" . *

'" -A " "'-' ',- & = .
pwrth ecr cet (f
with 53 per cent for the

s ecdtompared wit

.Tuberculosis (u.various organs).. -...---........-- -.. --.-*-*.-.-.
Pneumonia (including lobar and broncho)" 3.---..::......mn...
Diarrhea and enteritis ...-.......-.- .-..-.---. ----.-.-.-..---
mmmm mmam eme amme mem meme eme mmem mm*

1 .* -. I

1 . *: 5 .:
,..*. . ":. ., :
S- .. '.-. :.* *.. *"
. *. i* _j 41" .** .. h Ji
*: , ,*= *7 == == :==
*." = =="* I .*. .

** =,I ,=

.
*. -**
~~ ~~.*,...-H:.....+

< "- 'J ^ ~ "
'y :" :"
S:: .. ,

Seventy-seven (77) births were reported during th mtS1
a rate of 35.43. Twenty-fie (25) deaths occurred amd %.
under 1 year of age, giving an infant mortality r
the number of births reported for the month, of 32'1 'r
Of the total births reported, 12 per cent were stillbirths. i
-y* 4* .:
"" ".i ... :
DIVISION OF HOSPITALS. .
S 4 . :. i ... :

ANCON HOSPITAL. 4
=== === : .: = =i!
: .. :.

The average number of patients constantly in the hopit
during the month was 528, as compared with 489 for the.peq
month, and 453 for the corresponding month of last :ye*
average length of stay in hospital for each employee admItii
18.50 days. .
Statistical charts are shown under Tables VII, VII,I j4 "
Corozal Hospital.-The average number of insane pata i
for during the month was 361, as compared with M33R fi
ceding month, and 290 for the corresponding month of .,g
During August 13 patients were admitted, 13 dischatg i4j
transferred to Ancon Hospital for surgical treatment...
Statistical charts are shown under Tables VIII and.-
t i -- -^ =* ^Ji"*' < *J'ic ^rx^ ^S'i'k~
Boarno health laboratory .--The investigation of the
occurring in .Panamanian cattle has ,been continued *

.4 k
k
H
.
gait
':1.
1~~~~~~~
..
-

osemes seven 4ye after th.lat inoculation. The calf,
gained well 'aIihough trypanosomes were readily found
-$a blood for a number of 4ays.. This calf furnished
_riad for the .gtuy of the morphology of the try-
.e have decided th,...we havq..hre trypanosoma thei-
ppz specimehs agrpe with tha. descriptions of this organ-
dze, (2) in morphology, E(.3).in. .ing .readily cultivated
ad. C(4) in being. unable to develop in other species of
an cattle. Trypanosoma. theiled is considered by most
t nonpathogemc. .
nation of three sick hogs sent in by the bureau of supply
........ ill of them were affected with hog cholera. These hogs
m.olbmb... TThey suffered also from a verminous. pen-
ut hog cholera was considered the prininary cause of their
i the first time that the laboratory has encountered
~ in animals other than American hogs.
M well-nourished pigs died at .Corozal farm and autopsy
Abcause of death ,to be a gas-bacillus infection following
of antihog-cholera serum.
df horse were reported to* have, died recently in the
between. Panama_ City and Chepo. The enjrnnation of
imck.horses.at Buena Vista, beyond Pacora, and at Tapia
piroplasmata in the blood of three of the horses; trypano-
ere found in no instance and two guinea pigs inoculated with
Hbir of two of the sick horses have failed to develop trypano-
".The evidence obtained indicated that the horses were
"japlasmosis and .not of murrna. Since.that time, how-
hbree was brought to the laboratory .from another villagee
~Md~aand its blood contained numerous small trypno-
S~Therefore both equine piroplasmonis .and murins are
St on the Sabanas at the present time and it is recommended
e A y veterinarians be informed of this fact, as Army horses
are very susceptible to both diseases.
E *e. of canine .piroplasmosis was diagnosed microcop-

.oif routine
'a ---The
i onth wa:
J ged fro
.- ':. .... ..
.. ; i : .
*.:: *.... .:.
"" '.h

operations is shown under Table XIII.
average number of chronic patients cared
s 29.87. Fourteen patients were admitted
this ward during August.

COLON

HOSPITwL.

ft a C --C* ..- -

r .i r.

.

PALo SECO

L MEPEi' A SYtmuM

. i.

7'
[4

. "". i

.1~ V

~

* V.'

~HL

1.
H~* i*.*..*
~%4.
* ,.. .-
1 4:
a.

'n.j

. :" .. l .l '"i~
of persons cnsetantly cared fb9
)mpared wit' 65.70 for the jreeI
ponding Month-of last year..' ..
iatienits were admitted,'wit rio

1~

the. inmates.

SANTo

TOMAS

HOSPrTAL.

One thousand three hundred and twenty-fix

rep

during August, as compared wft]
and 1,439 for the corresponding

The average daily number of patients under
-- -a a c

for the

.prec

trf

.'..
-II
I
-1~~
~**i
air.
4 .
it 4
I 1.1-H
t .....
:ii~ynr~.

atients.Tzi
. ... :

S1,3024a6
m o t' :. *f.
'moatien 6
iatineit:-H

ceding month, and 440

responding month of last year. The total number (
was 14,173 as compared with 13,450 for last month.

n *

occurredd
(2) diarr]

f da

at the institution during
hea and enteritis, aid'.

the chief causes in the order named

Statistical charts are shown under Table XV.

DIVISION

shows

employees

SANITATION

average

both

monthly

hospitals

C

he percentages being based o0

from

each

District.

Balboa .-.-.----
Ancon-Corozal. -

Pedro Miguel....
Paraiso..........
Wpgt. af tPln .a.1

am l e m lmm m m m m ie m m m i n i m lm m pm m mmiml im

district

.?* r.::, jj*' "'

:-*irr ,SAt
r. ~
*
chtsrsan~

.4 be4N~Az
I.
i..:. %..p~ihJI
.4
H
adiiiesNt~

rnd 411jj~ja H'
nth~3ip
- ~ ~

tcta1';i

Number
of em-
Sployees.

2, 68
2088
I,
1,151
1,352
995

, as co
corres

-~-
* .
t
- 1, -
hr

. V-V - - i - - - - - i - - - . S S S * -

The

month was

average number

65.61

and 67.58 for the

During August two
deaths occurrig am'o

E"" ITM

the hospital

ceding month,

1

compared

with

with

Seventy-six deaths c

tuberculosis,

diseases of the heart,

The

from

following

table

malaria among

the month of August, t
number of admissions

employees residing therein

fir.: ~
~ ~H .~
lit-
s"f t'-..
'4-i...
~iJ.~'

4
it'...
v.....
lb ~

H
.L ~ 5
1 .IIj~ U
A
Av:s.
'=I*
4iv*.iii~*
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V
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A..
1~

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,.-. .
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9:?:
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fl..i~.
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~.
p.
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I, .
~
;j ~A
H..

I:

CANAL ZONE.

ItSief of many medical officers ot the Army from duty
ai and their replacement by officers of the reserve corps,
necessary on account of the war, makes it difficult
Si ntay work in the Zone and terminal cities at the
dard of efficiency. The assistant chief health officer,
tary inspector, and the health officers of Panama and
e thus been relieved during the past few weeks. The
Wltt aent to replace them are wel qualified physicians
A:..... zealous, but necessarily lack experience in administra-
tpical sanitation which is essential to secure best results.
daiathis respect, however, should improve as these officials
.peience and familiarity in their special field.
Sbeenan increase in the number of cases of mdIlaria
both in Panama and Colon, among the civil population
4ti onth. The record, so far as concerns employees, com-
brabiy with that of the previous month and the correspond-
.ii of last year. A high percentage of admissions among
eres .continues to come from outlying camps of the supply
ttint beyond the limits of sanitated districts.

1.. . r PANAMA.

Salary, have been more numerous than recorded for the
monthss of the current year. Several adverse conditions
a:e ponsible thereforer among which may be mentioned
,up of. the Corundu River during the construction of the
ume i=n the river bed, thus inundating a large area in close
Sto city districts and making antimosquito measures
I Further, cases of malaria coming from the Savannas
tere not chargeable to Panama City until recently. Natu-
nauburban districts are less favorable at to mosquitocontrol
terity.proper, and it is noted that a large percentage of the
.;ases .come from these districts. :
= is continues to show a highs mortality rate, and little
tit can be expected until we have better facilities for
endhospitalization of' open cases of this disease.=. An
ep... been taken in the. establishment of a free tuber-
....under .:.the auspices of the Panama Red Cross and in full
.with:tbheiih department, The positive cases, re-
.. .- I"""m -- -- nib.MM s

the Panama Red Crou
done. .
.Ordershave been .pla
collection, rep .ing...
that ,these tru will
garbage ininerac its.

* ,RijI
* V....-
H
SI',:.
a HTM
..:. .4.

Si .HrLH..

where
/ .

- a ., . : . .- ..: .
completed and ready

7- : r-o .,y .* ; *y ** *^ i .; ** ..^, ^v i'
." T I " x* .i ... *.
\* .ON .i. :

Considerable drainage work has been completed in.
pasture nm the Mount Hope district during the mnub:
There were 15 cases of malaria: reported among ene
the month as compared with 8 cases during the precat.
.,. __ .? P. .., ., ., __ ..SI' '"*P w^,
The diphtheria incidence decreased during the I.
month, only one case being reported the last.two.weekd
An effort is being made to enforce existing regui4
installation of running water with sewer connectio.nt iA V
ide-cream parlors, soft-drink stands, etc. This work
rapidly. .:.
TT&"l T lrlTl" .-"T T .' '
nTADA-NTrINE~l TDTIVIflTSION*:~

' U I'-lJ'lI JL. .1.12J

I.JI. V/ JJ.U 1'.

r!tiOqNI
~~'~1
'2

No important changes with reference to plague and
conditions on the west coast of South America have pccurrm
conditions in Buenaventura, Colombia, are generally; r.
improving, nevertheless mosquitoes are still very ]p
rainy season in Guayaquil, Ecuador,. is about comm
marked increase in the number of plague and yelowr
particularly the latter disease, may be expected in the*"
The following inspections of food animals were mad
month: **
.. L .. ..:
.For supply department: ..::.

Cattle, ante and post mortem inspections. -..:-
Hogs, ante and post mortem inspections.- --:.-.,..
Cattle, quarantine inspections.. -...---------. -..'. ..- .
Hogse, quarantine inspections. ... -- - --.- -- -
For outside-interests:
Quarantine iinsntinections tOrtaba docate

Ixn

r..---

is sections by.veterinarian under the healahrod
Panama, quarantine (Zone), (cattle) -.. :- -.--.-t -
.a--- . "l. ' .- .' l -" . "-.. "':

'C::::.
...

--

I:...

L-Rn

pfltations were accomplished by the hospital authorities
s 6 employee an d 6 nonemployees, all suffering
SIn addition to theabove, 32 deportations were effected

aitine authorities during the matnt.

.SS : .. .
. |:|::: *:...:" :.** *
A. J

DEATHS, AND
EMPLOYEE

NONEFFECTIVE

RATES

FOR

ABSOLUTE NUMBERS.

H LIII
lb.
it.
Mdi.:i... *
*1
h
K Y
9pLTr H

1.~II I

l1~
HI.
~Ifr. I
HI ~ I...

S r

*1i.4 w

- a-I. -
b~ t9~
-
'II

hiS:::i. -?".** :*i*:*]"* --*
gII.==q,,.::*:.-*:**.-

-! -

U .. -
9BE1S ^ .f .:*--
lh2rs ti. '.:

:.!I: l- - - -

HII'"

U,
C
C
fri
I 0
-
Pd
2
C,
a-I
0
C
'.0

4,864
28,430

33.294

Admhospitals to
hospit als.

1
1

I
03 C
0
o

128
400

528

4,817
27,770

32,587

4,563

29,046

33.609

11l
315

22
75

97

Deaths.

i

-I

J.
20

21

25~

' 10

8

a -

- i

Nonefiec-
tive from
sickness.

2,544
8, 135

10,679

2,298
6,778

9,076

2,135

6,266

8.401

C
S

a.
O.
0

82.08
262.41

344.49

74.12
218.65

292.77

68.88
202.13

271.01

H
S
.
*!~ ~ I

PROPORTIONATE NUMBERS.1

4,864
28 430

33.294

315.70
168.84

19.30

273.85
132.96

153. 54

41.94
35.88

1364 6

. ......

2.47
8.44

7.57

0.84

.72

-. -----I

16. 88
9.23

10.85

: 1 ".

1111!~r .;

un' *r, e -_ h. ..

'I

i ----r

.

I .

I

i

1

1

|

143A

TABLE I-A.-DEATHS OF ]
COLON,

IEENTS OF THE CITIES
THE' CANAL 1ONE.

.. 11EV
-. ~1-a

'H,
* . .4.,
H':,...
- *~1m.
ii
4

August, 1917:
Panama... -
Colon. ..

- - - - .-

Canal Zone.

Total.

July, 1917:
Panama.-... --
Colon.......------
Canal Zone..

Total.

August, 1916:
Panama-.....---
Colon .......-----
Canal Zone..

Total. ........ .

Popula-
tion.

61,369
26,078

.24,038

111,485

61,369
26,078
1 24,038

111.485

60,778
24,693
31.048

116, 519

Deaths.

Total.

ease.

External

causes.

..- - -

- 7

II

Total
4

-27. 38
29.45
15.97

25..40

35.78
27.61
17.47

29.92

29.22
27.21
9.66

23.59

1. ;~

*'4. ..

.1
..

2S.4

2 4#*!?':
rr-i.:.*

.. :
35 39

14.98.:

29.17

U

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.'1.1.!
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Liii
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i

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= *HII.

I H" I. I
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, J

!i:3:

TAn.E IL-CAUSES OF DEATHS OF

Cause of death.

Whooping cough..................... -------

Miliary tuberculosis- -------..................---

Abdominal tuberculosis...... ------........--

Acute meningitis .---..-.-.-.---------

Convulsions of infants. -..--.-- .- -....- ..-. ---:.--.-

Acute bronchitis- .-------------------
Chro0 brochit.t.s: ----------------.-

Broncho-pneumonia.................. --

Lobar pneumonia.- -..-................--------

Diarrhea and enteritis.... ---........

Colitis............ ....................--- -- -

Intestinal hemorrhage................

Acute nephritis- .-..--..--.---....-

Pyelo-nephrosis ---..............-.---...--.. -

Diseases of skin and annex . --- -. --

Premature birth -.-.-.-.-.---- -------

Congenital debility..---- ----- --- -- -- -

Malnutrition --------------.

Other causes peculiar to early infancy

Traumatism by fall ..................

Undetermined. .---..-.-.- ..--- ..--.--....-.- ..--.. .- ..--

Total.... -

Stillbirths......

- S --

-----------------t

'"- ""- -.- ..- -

-SOxa

Color.

.5
A
*i *.%H..i
~ M

-~-~.1=~

111W

.". :....i ,cwl;r:
..........:.:

." Iwe.fe,
S .. v ..l i

H. El 'ill.

. .
1lwet s..

**l~ ..lll~,*.

-

I

L" *;!;
:rblVfl'4

it-: Sr
l.l.~.

* - - .. ~ ~ ..*H. II

.ilr.. *l!IH!!H.
- - - a - -. jik.. ~tr

.

.1
I l.~C~i

9.
. .- ...'

-

--*I

n.

n .*n a

-.-. -

Grand total ....... .... ............... 71 1 53 1 l I 15
Infant mortality rate, based on number of births reported for month (

Percentage of deaths under 1 year of age to total deaths for month......

..,. .
*.. $1.

.~7t
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W -.
H *~l.l 34.
H

.
H H
iiEijjrr.
A.
4! 4
~
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HH.k.. ~ H
H H .~.
IEHH.jHr..

. .:::. ...S .: :: .
.. ...
m m:* i* * *A-W *W
::,j;r:::::.A*i " "
. ll-.... *:. ..

i ***, i irlg ;l * *
:i--WipirV= I .i W **
-i ".:::1 : F. *
...... ..

*:..: H *** ..M.
P"..:.... h. l:.L f II ..

h' ....H:* .

H **,-H:j : 11.1 *H -
. ...*n... .. ... .::
... ..

* .. .H: **....*i. *M L

S i iii:: -:.... :: .
::: ::' : ,:*:*.
......: :..:: *:..: : .. ..
H : .. ::m:. H ..H
4:i,

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,;i ... .....i~i'=

ii. *::.:iliii
i.illlll. .......*. ..
H. ,, j.... 4
Pp. ..:
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.... C ..

**::iE:*.*.*:::
* ..:... .: ::. :::**
. *:.* .. .. :.* ::* .

:.:::: :: *" :"
.. :- *. -. ..
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S:!: ....: *:** ,:
H

'***: '"::*:* **:.**:::1
:.:* "i i. .::
................................................................................................................................................

.I... ....

*l*"" *: H*:
N!. ..
H4. .
...m.... ..

....

1

rlm-*ll...-.
it...
:qi;fli-..

j! I 1 S*~ :* .
Hid- .r -.

*:l~. 1~

~
411.
Hwrk~n
114...,
V
..l.
~tHLc
HA
..s II.
I.
I 4...~. :a.~. -
A.
A
iHHl~

~~1j ~
*J ~4

.-l.
~iL
~

. r1'.*
1 41.
H 4.~ ~t
S
..-'*~.- -
H. ...~ ..
Ii 'ft.
.1
-~ ~*
hqiiI1hii. ..~ -4 - ...
.1~~

k...1. lv
ilH~lfi1111l~l. 1
IIHII..41
..*y.~4Lq,, in--.
rIeII~ **~ H.... ....
Hill: H!
's,~.A - - 1
:.Is~;Kli II' .... d. -
It C~ ~
H..
2'~~.~~~
~.
......... 1, 1
*5**~
4s ~t.. ~ -
jIHaL .~*J*=~ P 4,3
H.
H~. ..
-...I'
.1:.. a *~-~ ~-'. -- .*-..- - -
C
P1.. "1'~~
- - - -
................
'K">. flfl~ :~~S~* ~* I
InTl. -. -
I
.1
..lI ~ I
H. ....it .
--
..a ** ~ a - - ---
.- I--.-
*Ii

IHI..'%* L . .~ ..

*Hll~ H *.. It. -.

WI.: J.: ~*H*H* I .~ ~r. 1

.4'
*H. *... ..<*I* C-I
iN;..

--
.. Ps WlS**S we.. -- -

B, AGE, AND PLACE OF RESIDENCE.

Age by months.

5-816-7

51 5 I 8

--- .

10-11

11-12

I.. i.

6 6 6 6

6 6 6 6

Place of residence.

Pana-
ma.

emii
* -i

74

39

Colon.

.i.ii
g-.mm-

naimo
- -

modm--
-m.. .

f
-n. --

36
324.68
39

Zone.

14

170.21
25

Total.

124

20.28
37

i!is" ,;*.!B!j.: ;:. ^..**I a# --17---0
i:3e::::aiL'""^~~ *::*. "'f-
..:
P:'?^. "2.9

.:.| .. .

^ ~ ~ ~ ~ **" ** v
*E :i ,, ,, , .: ,
,:: ,,, ,, , .: *,

"i:*"::*: ly:.ieBx "
H::" "..: ..... ..

i||:::" |:= :E i..E "' "

: I'IH"-- . .*-
H ...*

I..*.......
.. M H. H...
... ... .HH.I

-* --

H r I
*1 ... "
..! M .
L %. i

H

TaBLE

".:i u *:*:. ilir
* :H .

III.-DJ ATUS,.Y yNATiONALITY. .
^. i *S ^ 3!H "

Nationality.

Antigua- -
Barbados - .
China..- ..-
Colombia....
Costa Rica..
Cuba ..-...-.

France ------
Greece..-....-
Grenada....-

Guadaloupe.. -

Holland...

. .....- .-

Italy -.-.------
India.---. ----
Jamnica -...-.
Martinique....
Montserrat ....
Panama-. -
Perun--.. ....
St. Lucia.... .
St. Thomas -.
St. Vincent - .
Spai ...m------.
Trinidad .....
United States -

Tetal...

*. -. -.-.-

* . -..- S -

- - S

.TABLE IV,--BIRTHS

August, 1917:
Panama..-.
Colon--- .......--
Canal Zone..

Total...

TIli 1017-

Male.

3

2

- ..--
1
1

' i. -

AND

Female.

Nonemployees.

Male.

-N--i-.--

-m-m -ma-m- -
-.---..-.-.- -
-.-..-.a-.- -

Smmm-n-* -

BIRTH

24
2

-m-- m- a -
42

3
1
4
6

RATES

Female.

1

.........
-. --- - -.

25
7
I.

1

. a-. .. -
1

THE

Total

* ifl~iiflH.5
I:.
*..:.,
H
- :. 5?. ,~j:Hk
I

- ~ .I~
-'.ME

ale. Feuu.gs
*
_________ a .L"

1.
1
1-.

3
3
.1
4 2

35
2

41
1
5

THE CITIES OF PANAMA AND COI

Popula-
tion.

61,369
26,078
1 24,038

111,485

Births.

Total.

Alive.

Still-
born.

*

4

^'
.. *

..
..

.. ..5
.. ... *I

.
*::
-M

- ---.

.A *...
- .^. H- ?T -S

. .5
. *,:"^

- .2

4 .;

.. ... .n
*f "
'"""""1
~ ** .
** ---- 'll : *

nn.rn.inonnn
liii
..
j.. :,.. .
Iii. H
V
* S
H I.
H...~
.4...
H'.
H
H.
* IE H
On:.,
in.'.. A::.
a..N~
* .H

hn.
..H. *~i~H*. N
* Hi*
H .~
.
~
..nr. ~~.nnq*
a sin
i..**i. ni*US
* ~
-a
*4iH~
* .. .. *
I
*

*J jJ~Hj1
...1h4
A:., Harj1

-.jm
.An C ii~AA~
H*iii
.4
nn.nt .j: *
Ii
I...,.
* e.,c1jjn
*H.

CANAL dxl

. . E ......': :...:. i 3~
.A '

atBate

Total.

47.91
40.49
2.646

MWi

r.r "..
I

.An. It
SHHAH..~ji*Fj

* .
IliuM.

. :. ....
. i ..r
..

i

23~-6
aimi

T : "
.. ..
, ; h

Employees.

* k -

m

. .
.

~1*~~H~.

I.
S.
.4.

..
H.
App
l.A.
!~r t:.* ~
"4. .tI..
=4
-U

en.
* Hd rH.
HJ~
H
I..
H ~
Pr..,-.
~ nIH
- - C
HH~. *

.10...
a
Ph.
niH inn. W
C
~
ihH*I...4.
'4!~.
I~tH
ii.fln.!h:!.
9k'~~ ~- *
H H
-
iHH *
*

H
*1
i*.
.H
Li:. .ini.
H~ii''~'V
*H.H
H. *n..

H rn.:
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I.
:11

n....nHiti.jn:.
Ma I
jrH.~.dC4.
A..
H .A..nn.
M
%t.. ii>
41 t.*L* I
H 7H** -r
t
I,.'
MH..h
it.
H H
1nnfl. a. 2..
.. .. *H** I H
H
U .L.
hi ~
I \ H%* -
nnHnA=*~~'
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l.a..
ii,-.I;
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I. H

~ON;

alI

ill

iL--TFAMNT WORT&AIsTY BATES IN THE CANAL ZONE AND
.AIl::. r u'rE CITIEa OP PANAMA AND COLON.

H
~ '; Nb H kH *
HI: ..i.*
Ht.~ .
H
.jNH.HP.
;NIhirIhITut: t C.
.>j1::~r :2

A~.I
C
~ ~.. 1 -
V
p,11 .1.
NH

- ... .- 1 -J -

H::.:. .. =...:a r I"r1 s.

..............
.. fir... .atrar ..
S* .*** H -

UMM P,..':J'"'..-",,. **' **" BB^ **~ ~ ^f, ,n m

t .:,. !.: :,i.* .r*. g..
H :** ** ** ** --- *1*

::':: " ::j :::.. : .. . [a 'i
i 'H
.3H .1 1 .. -

-
aAa

.. ...- .. ....

.... m. m,...
.::.... ... .....
H ..g.. ..H H

. ...i 1 . ...,.. s n. m-
".: "i:" : ;: : .. .. .

il ., .... :i! ." ..
H.. --
*. ....... 1 o

.. .: .
.:: .*":"." *:* [
::: . .. -
::..::: **::" : $ 1Jf~~t H T

H: ... ... .

i !:::: ..:: ^^ "T n o
.* " .. :. :x. .
^S^S&txguat, 1916:

... .:. ...... ... .. *. .: *
....P.....nam a
B *.. (j. . .. : : .

I" : ...:1 : : :: .
1k: .: *:. .. ".
S.:::. .. :: .. .
..:::::::::.. ..

HH* ~ 1 .: I*
... ... .*. .: .- *
.:: ::" : .* F !!. *
i . ... *
******* -- 1* *

i... .... .. .. ... . .. :
. ..... : :
H N.*......
N .....

.. .. : .1.:"
....k... *

KJ:::'i :::... ."*' .y ,
fx:r:jL.': 'v ":
.....

. *i I .. ..
. .*
N.H H .. .
I .:EL. ... ::E
I.... '

.......

:' {i; :::i:::,..::..
... ,! "':: ...... .
m.
H m
': ; :.: ;i : - "

1e

-.-. -

. .- .. ....*.
* -- 0 -m-- m* m S *S S

S i i i - i i i i i i i

Popula-
tion.

61,369
26,078
1 24,038

111.485

61,369
26,078
t 24,038

111,485

60,778
24,693
31,048

116,519

Male.

a.i,

Deaths

wmong
children
upder 1
year of

240.00
324.68
170.21

87 240.28

399. 01
324.68

150.00

338, 24

280.00
218.75
66.66

232.09

1 Exclusive of military forces.

"B .i : .."i. "' '
I Hi.i"" "
. H. i .i. i.. r#
" i ::; :'::. :" I

.... ...... .. .

.P.. :: .. *"

Births.

mile.

Total.

Death
rates per
1,000
births.

.
.:

I-tn

Cause of death.

Abscess of brain.............

Aneurysan-- ....-- ..-- .-. .....

Endocarditis, malignant. -.. -.

Epithelioma of esophagus...- -

Heart, organic diseases of....-

Nephritis, chronie..........

Pneumonia, lobar. --........ -

Tuberculosis of the lungs-- -

Tuberculosis, disseminated..

Tuberculosis, acute military. -

railroads.....

......-..

Suicide by firearms........

Total. .......................

Color.

Ri JILLL

*. H
,, /* u'"^ "B ^ 3

*--.-.-- . .. :..
* .* :::

Agi* ....
ig

21-25'

26-30

-C---

6

I

36-40

-

* .

..-.

~
---S.

a.-.. I

1 15 years old.

iris. ~
Ii. r a
* IbJir
*
w
-.
~1*
I.
:~'.'. >

1..
**1i I.E.
-
.1k1*:..~.

4r.:~

II:. ht

~

1.

C.
4......

gd:

C'.'

~1'~

J~JWW~
q
I. H.

.. A A .~.~jIti-diSrE
4~ 'I.E RI:. --
J~
~ :.%t..$i4
.-- ...;
yr
*
* ~ 9 Ti
..J-t- a,
rK~.
* - V

5''!:
L~IHH

t
:H~W:fl~
4 .... ..-. 1~H**j~!j* H 1~v !'~:H~ ~

A: *l-:*-H
.A".' ...
WI. ..a~ A
'a ..1si
V..
.
*
~~'~-'
*~HIr .~
.4 .1 ~Ij. *
*~H -.1H1-. .
I....-
.4.:..
* ~ H
'p1:4 .
. *.s~:
.S.L. .....
I:...
.pHH . *
...IH..
.-
LeE.. A
.
H hfl V..
.. r
a.
.....-.:
* ..... H.H;
.,
r
H.~..'~H*4 fl-A
...rY. fri. .:...j...~.

.r~ ..,&.
*'~Ir, e. H
4~..II.H. I
:1......~jiL27..~~'~
~4 :.:..:M;Hsr -;
Isu~..
KTM 1" H~~<*
: *1 *. H*** H..,1#*. ....
~! '**~~'*~~kJ..H
.1!
~q
. I..H..:A~ H tHAK~~~
I,..
V -
N *

IHAILEHU*U.
HE, J*~Hj.K

U

TABLE

Traumatism

I

t'

xxG":|y: .~U~ i * :. * ^^ *
"ic "|

: : ::: :" : :.: .

S .. .* .
:iP! i^iHi: -^

.*** ** u s s***** .- *::: ** *

j.H ,r , ,, : ..
S. ...: : :: .. :* *
"i :: ...%,,: %.:.
.l ,, ,,,,,,h,
ss .s, ss s ss s

.... O AGE AND LENGTH OF RESIDENCE ON ISTHMUS.

Hi.~
.41 *11
Hill
H H~ *iiH.4
H!.... S
H ~.VH *
I
H
i~ ~.~1

*..ii.
*1
r l*~ji4I*
1HHIJ; I
:.q4.9q
H.
**4~4. .*ii *
sEll::.-..
5.
*.q~i:*jH4
.
H I....
ill..'. .~1
V.-
i.i~I~H!H~ii***..4 .4' *
41%~. ~
iI3LjEl&E~~**I ... -
i~ L:lJI,
4:.
.ill
~r -. :.r;-

-.
;*f* ~E:*
~ F
H- -'
-I. *
i~H ~. ...
H r
-r
PH t
H
WI"...:.
.~ I:.: -
H
..4 -.4.
5.*
9 .iHilj
it
H
~
ii ..-
p.11. .~
.. .
M -
H. .11111
- :1
V -.
H
Vii.... .~ A
Hii~~~t**.
-- -
.. *
Hill:. .
1.11**i *

:1Cm':
--- -

p4. .~. :." 4.~.! .1"
..... ..... . ..... .
.i.. .. **" .- *. ,

^* ^..- Length of residence on Isthmus (in years).
.- .: ,,:

4:1 :..~- . ...- --

. 2*aA *,

.. ii "'
\ik$^*" i

3

.. ...

-.S..

-.....

-.....
i.t. -

ii t
.....t

8-10

-. ...

5*S*S

- S. -

4

10-12

"1'

1
. 1

..4..

4

12-15

U

+15

Life.

Un-

known.

Total.

1

2

1

1

5

3

4

1

2

1

1

1

23

H~ii!i. s.

; >_ m
:' .. ".
,, ; ,,,,, ,, ,
:.. .. .. '*

I s '* m a
iH ii*.-

:*. .H .* ..
*:: ":* :j ".

i"i! ;; ":. .."'* i .
t.... : ..

s * ,
***- -* *
i? i .;T I it

*** ** ** *
*i .* .. . -
,~..

Si : S " .: "
!*.: : B : * "
,:I f ,, .. :i 1 *
f.:h x *

H ,, i ,,,
w ~~*x ^^^ *
"-** :* **R -
S . . *
H...4 r.: :. A -

,, :* ... : .. :

: : *
iH:: *..

iE ':. ": E::: ::: !.: .

i' "' ".: ". ":

: . . .

,,,,,. ,,*
H ii*H H ..
.1; :1. j

........i.

.........
i ..H-.i* A!isi .

VI.-CAUSES

Cause of death.

General diseases.

Malarial 'fever, estivo-autuInnal -........
Whooping cough. ...... --....----- ............---
Purulent infection and septicemia..- - -
Septicemia-l --------- .- .-.------ -- ---

Pyemia and septicemia, pneumococcic.
Tetanus -----------.................. --...S-S.-..-.... --
Pellagra..- .. -.-- ------ -.-- -.- ---..---

Tuberculosis of the lungs. ...- .....
Acute military tuberculosis.............
Abdominal tuberculosis ..---............
Pott's disease.. .....-. .. .----------.-
Disseminatedtuberculosis..............
Syphilis, hereditary. ..... .....
Cancer and other malignant tumors of
the stomach and liver... ...........
Cancer and other malignant tumors of
the peritoneum etc ...... of
Cancer and other malignant tumors of
the female gemnital organs.--....-.....
Cancer and other mahgnant tumors of
the breast.-. ..- .........
Cancer and other malignant tumors of
other Org as.... .--.-. .-. .- .- .-. .. .- --------
Anemla, chlorosiS........ -.........-..--------------
Alcohohlism, chronic -.-.-.-...---...--

Diseases of the nervous system and of the
organs of special sense.

Encephalitis ... -. .- ... --. . .--
Simple meningitis... -...---........
Cerebrospinal fever.. -----.---. -
Cerebral hemorrhage, apoplexy..
Convulsions of infants (under 5
of age)..........---- ..-..-..---........--

- - - .

- ... -

years

Diseases of the circulatory system.

Acute endocarditis. ..,.---
Malignaut endoearditis- ...... ....... .
Organic diseases of the heart-.-.....
Aneurism...--. ----............. ... ...

OF DEATHS

Sex.

. SEX,

Color,

"" "1-

*fl..H... .
H
D.C.
I
rffj CrC k.Cf

OWfl~~
~
.h~;:i~.t

'"'H
K *..

-

*- "

-lyear)

-
*
. 3

!

- - - S.
I
- 1 -

f
-""" 1*
-a- *S

-.S.- 5-s

S
~

~:' N'.
I--?
Arc

.r *t~H
-
*
he H .~ t.
* -s.-~
A

1:

.m

-.
'I'.

-
I

.i. *

- -~ r-*
.1
I.. -
- - w.

~~~l'
- ..-

- ..
* . .. ~:

A ..;~ ii'
A
----'U.

.hil
1 - .* .

1 .. ... *. .I
.. .
*--- -.--S. ---; --

-- 1 -. ...S..-*.:..--
-= ~ z .' ^

i:-i ".

. . "'
,, J

IL;.

4r .IJj,~~
:1 :r.
r. rq

H

I..

23

~t'~ Lcd'.

.!~ H.:
C. H:.Ek~I

*

i~*
...

H
H

H
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~
I.
I:...
.. C~.
H
I... ..
iH~
A. .. I.r.A.
.11
:...... M~U
L.
-
I::.,,
:r..

A

I~. C.~t

I r ~'-I.;
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II:
-~
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a.
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I~.HL.
H.
Al HtIIJIH ~:!
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H H
H"
H H
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.. .f.i. .:i ... C.* ..

IC-..
.. ... .

If ** *~imiW Xi!! *:
-ihE~x: -liai**l *~:x'"*""t
.F:

u l r~ Iu~w~f Ejll .* *
3.'*
... !.t. : .

*.*.* *:, F,, :'
= ... ...

* ilh .i

H H
l~h^::l"- ':" *""

i ,,,,,,,,, :B >:, BE ,,,, .:x:
. .... ..x' i...x: : .*. ."
,,:j , lj.,, ,, V,, ,
i-S tt" : "'

,,!X ,,KJ: :AX" ,,, .:
:*:: K .: "::: I IE:::: :'II I.e'
:: *"::::"7". ie:":.'... E ::":^:
in niiiii mm. iE H.. .:.!* i "fE: EE;! 'c ... ...
air -afi"r!^ '%

i x:a ,: S,:,: ,, :, ,
;E" :!EEE:" S^'iE"'E... ..:n' :, *.:
"*Vj :" I'.t." .:
*- 1* jAHB ***
i-^sSBU : .::,":." ..J!.. :
ilLaHP4 Vjmrru fs

,E::" ":. : ",E" "xI.. '.
H J::'!.::H.i : : ::.i.. ... .....

H:3::" HA5E""~: .: 4

TABLE

*

* i

I

)INONEMIPLOYEES) AND MILITARY, fY

INCoE.

4..
H***IH.

N

,; H.
.12"

I.:

.Jn.
*k k.
H
H K.
tHEEd H:*

S

"-I--.--

*.qfl*. isA
I
[C4.4. 2 *t~::
~ ~!!
it.
A
i.

.4
IS~--
-'wIn. .4

* .

~~4(*~*H .1
a.
EqS *.7i
H

r.
H
* i~ ~J!r~.J1t~
*Hi.i~
a *
4.*:
*
U.-..

4..

-
H

.4
4:

.1.~
H:.::1::
V
Iris

~A* ~ a.-
.n.*

.:~: H.*.
a
.5-
I. -'V
N.H.

i*~4Ata ~3~:

14
H
H
I...,
.

....-.
H
H1~ ii
V..
H..

dIHI. H
ti
SW.
Er ~**
I. .'&. I

V!

P- n n.
. .

.... -
r

-: ** .-.

*4

- -n-
"ii
-* ..
13

3

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Age (in years).

IUAO-4

-- m i--

- -- --

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ma-m- -

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41-50

.2.

*iN a.

N...- O

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51-60

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m im i*m-

m S m m S m S

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- - S *-

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2

I I

61-75

S -

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76-100

maimmiim

* W N BN I
imi-m-m l
-- I -

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ammimme

mimimml

ammimimm

1
m" "'iS

wommamv

Place of residence.

Panama.

imeemem
i- NS SN

2

7

- mim-i. -

Colon.

m m
* -5 7 j

1

- . -

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Canal

Zone.

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mm-m-

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mammW
Mlimm
- .m

n iQ
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... ..

S.-.-.-

a.
6

* 1

ITotal.

1111

1

V I.--CA U.ES

Cause of death.

Diseases of the digestive system--Contd.

Intestinal obstruction.- -......

Other diseases of the intestines. -

Duodenal ulcer--- ....-.....----......-..

Cirrhosis of the liver.... .... .-

Abscess of the liver, entamebic.

- . ...-. -

*. --. *.. -

-.. *---

Non venereal diseases of the genito-

urinary system and annexa. ,

Acute nephritis .. .. .- .-.-.-.-.-.-.-.- .- .--. .-.--.-.-.-.--

Bright's disease (chronic nephritis).. -

Other diseases of the kidney and, an-

nexa . ..... .. .. .... ......... .. ..
Pyelo-nephrosis ........................----------------------

Stricture of the urethra, non venereal...

The puerperal state.

Puerperal albuminuria and convulsions.

Diseases of the skin and of the cellular

tissue.

Gangrene .- -.-- ....-- ...- .---...- .-- ..- ........ .... .

Other diseases of the skin and annexa. -

Diseases of early infancy.

- * -
* . a .. --- .

*.-..-. .- .-..-.-

...I...
-. ... S

Other causes peculiar to early infancy

..

Old age.

Senility.. .-

Affections produced by external causes.

Other acute poisonmings.
Traumatism by fall....

*Railroad traumatism.. -

Injuries by animals - -

Suicide by firearms -...

-m . - .t -m i -
i- - *i.-- -
- -..- --.- .-.--.- .- -

- -S - --.a *

fWra niina nia olon nrn4- ?orfflEAl

DEATHS

*Sex*
Bex:.

3

3

2

1

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Premature birth..i

Congenital debility. -..

Malnutrition .........

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<,'iQi BSWDENCE--ContIued.

i:..: llii* *. *__ _____

MILITARY, BY

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Canal
Zone.

* i --IIII

-.. .

a - -

-5555.5
S - S -

*5***

*- *..

Total.

Age (in years).

Place of residence.

---

--I- ---I- --

I -

Residence.

Escoval
Tonmosi.

A.*
iv:.
V ihhi~ Hid!..
== .. . p... H:

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..
Tkrnz tA..~..I9UATM8 ON NQNR$8~v
4 4*
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w... C--n...

Darien --
Juan P1st.

8. S. cspa--- -.

Paeonj.~

Interior of Panama.

Juan Diaz.
Do....

Chepo. -

Interior of Panama.

Nziti~iialty.

oomr

...-do --..
Spain -. -.

Jamaica.....

Pama......
Spain--o-.-.

Parnamas..

Colombia- -

Panama..-
Colombia -

Panama..
Colombia.

- -

Martinique... -

Granada- .....

Color.

Black...
Blc.-.-
*- .win. - -
-..do.-..-
White...

Black....
W'hite...

Black...

am@ a i d~
. .do.

...do.

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. do.
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HaLtix

a
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Male..
... L t ...

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Female
Male- .. .

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...do.

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Age.
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I 47

20

3
36

-3D

1 Deaths of nonreuidents are not included in the statistical chart!
Canal Zonem or the cities of Panama and Colon.

.:. ::*:::m
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*;

TABnLE

Diseases.

General diseases.

Typhoid fever- .- -- - *.-..

Typhus fever .., --..-- ------- --

Malarial fever:
Estivo-autumnal.......

Qurlterini . . .. .. ..

Undetermined ....

Measles ---.....--...........

Whooping cough......

Diphtheria and croup..

Influenza... ....... --------
Dysentery, entamebic.
Leprosy--...............-

Dengue...............
Chicken pox..........

German measles.. .....

- . i- i . -
* . . . .

.. ..... .*. -

- . -. S -

* . .... .
*.-. ** -

*.*....*.-* ..*
* ..**.S.-.*..

M um ps -. .-. .-... .- .-- .--. .-.-........ ......

Acute infectious jaundice (Well's
PdZ t e) ---. -.-- .- .- ..- ... -.-.

Pr lent infection and septicemia..
Pellagra -.. ........ .. -...-.... .. -

Tuberculosis of the lungs...........

Acute military tuberculosis........
Pott's disease......................

Tuberculosis of the lymph glands. -

Tuberculosis of the genito-urinary

organs -..-.---..-.-. -... . ..- ---
Tuberculous abscess.........-......

Disseminated tuberculosis..........-
RvrnhiliQa

m 28 .I...
*. *. V*.1.
.
28. ; A NDD Ri

V.1.-DISCHARGES AND..DEAa?|T

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Discharges.

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Black.

1

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Nonemployees.

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White.

Discharges.

White.

Black.

White.

Black.

M. F.

S I I I I I

Nonresidents.

Deaths.

Black.

I

i

TABLE VW-DTSCHARGEW Al AWT.
a k,

Diseases.

General diseases-Con tinued.

Cancer and other malignant tumors
of the female genital organs.....
Cancer and other malignant tumors
of the breast.......... ---..... --
Other-tumors (tumors of the female
genital organs excepted)....... .
Chroic rheumatism and gout... ...- .
Diabetes.. -.---- -.----.. -..- ..--
Amenia secondary, cause not deter-
*iiiiaed__ .-------.-.---- ..--..---
Othe general diseases. _. ...........
Alcoholism (acute or chronic) ......
.AOIDohoism acute. -.-:-::-:::::
AlcoholMsm chronic............

Diseees of the nervous sysem awd of
the orgasm of special sense.

E.ncephalitis- --- .. -----. -.---
Cerebro-spipal fever. --.-..- ----..-
Cerebral hemorrhage, apoplexy- ....
Paralysis without speified cause ..
General paralysis of the insanie. ....
Other forms of mental alienation...
E oepsy-........................ ------------..-----------
-ytei- -- -- -- - -- .-- S- -- -.
N ris-. - -.-- - - -. - -- -- - -
Other diseases of the nervous system
Netrasthenia- -... --.. - --- .--. .
Diseases of the eves and their annexa

E u~a~r

uairs~es.

I -

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F .~ r~ ---. I

NOD re sid exts.

Disdhargesi.

White. IBlack.

yr I rL

-- ---
m

Ilrl''"l~

TaBLE V;iI. DISGHABJROES, AND 9flfl
* ak .". E,, * ,, :
I : -.* *'" "" 'K *

S* . . ... ......
. . . .. : :.,
S . . *.. !!!
.. :-. .e .. !
.S. -0 .... .. .....

-,,,, : i ,s ,,
9..

..A
*.... ......rq -'
~.**

Whit.
-- i '. j it ER^ IEi

Diseases.

Diseases of the circulatory system-
Continued.

Diseases of the lymphatic system
(lymphangitis, etc.)........o.....n
Lymphadenitis (nonvenereal).
Hemorrhage; other diseases of the
circulatory system -- ........ ---.....

Diseases of the respiratory system.

Diseases of the nasal fosse.

Adenoid vegetations.- -
Acute bronchitis ..........
Chronic bronchitis -. ..- --- ....
Broncho-pneumonia ---......---
Lobar pneumonia.......
Pleurisy ----------------.........-
Asthma- -.-----.-

.i.i.
-..--..

. . . ..- -
-.- .-.- .-

Other diseases of the respiratory sys-
: tern (tuberculosis excepted) ...... ..

Diseases of the digestive system.

Diseases of the mouth and annexa.. -..
Diseases of the teeth and gums. ---
Stomatitis. ...... --.- .-. .- .-...... --- -
Diseases of the pharynx.....--..... --
Follicular tonsillitis. ....--- .....---
Ulcer of thestomach...... .
Other diseases of the stomach (can-
cer excepted)..------- -...- --
A Ail+n eno+..4-wS.n I

Discharges.

White.

Black.

14

*I It I r I

I

.~ 4- r,1
W i~ :'*k:.
H..
A~".
**1..
i~/;

1*~

K.
' iii..-
C.....

I

mH. I H. I

SB.W..h. it. ...B

II.41.. !
*. .:**. ..:.*. . . . ... . .. .

.4... .*ii + "" m ..++Ililt .

i; ." p '-.* : + "I " " " I - "I I I . I I
**9.. .p +. **, .,

:I :.* : . I l l .. - - -.*. .I I -
: ;::. :. : :J.:I I:*I I/.I* i.I
.- -.-.- -
..- -*-!.-.-.::*-a.- ab

I. 2! - -l Iai I..
":"i""."i.~~l. 1k. ---.. B" a-. W hi=e Back.a

.,,,. .. ....- .a .-- .=--=. . ---=. .= -.-
I* - a - ... a a **

I.-,.,- ,. .I.-.. I.. I. ,I .+ ....aI. .... .I.
,, .. ... .. .-. .... .. . .
--i.:a -.."- ..-a a -.

::I. ...
a..* *.- *, -.-- ** *- * * - * *
k ~ .*. :..r *. Ix b2a - - . a - a a.

en. ..!!- !. .': j! a S** ue
.. .. W:. J. F. .A . --- '.----.- --- -F.-M -. -

Deaths.

IrlThie.

Black.

. c -. -

IImII

pemts.

Othe dieae ofii. th.iny nd;\.*.
44-

M o. *bl * ..

.----- 1 ; ., . H s

.. ...r:.JHi .s!-

.seas: .. .e a:
*. -* ..:: :..:.* **.........

Diseases of te. d*iiv str.e .m-

j ^& -h U^ XM^S&HH* "". ... .: :* *S CX --u 3uB Boli~F3p M
Continue. .F.. .

ixiguixial hernia - - . - - 6 - -** * *^ ^** . -.8 *- -... m .

Duadeni~ *leer ..... -i *iibt
Other. dise:ses fHi .
a t e iv r -* b- -- -- .5- a.- *- -- . *: ..n :1..........*jl4
..-) -.- .. .-*.--*a i im1.. ...
Abscess of:..l:er*(:*q**l.*le
Abscss f te lier ntaebic- .- -*- -*:: -::-:.:*. .:*a. *..:

Sipe etniionpepra). .----* ---. .- .i Hi

s~iiaary sBltm.and anus. A

o a .. .:..trw

H ~ .." I .i..."................... f

h~o v lue Iid~ii~r.. S 5 -- -- -S -5- i -.- .. *- *--. -.- .-. :--- -- *
1~eIo.~riiuiis S *- -. -- -- S * -I *- 5:. i. =-u, 1.
Diseasesof the.ladder:.. .:*j ... *

s(3es ,ete ... . .. inn --- - ...-.. -=. 3 .* .. H.
Strctreofth uetra. *:.:* ih",

proat-atitis .1 -. .1.
-*5-**s*- ** **
~Tnnw:nnenol = *

. : iFi. I *.: i .. .. .ii 1. *
MS eme..neum..eemedommusememm ...... ...... mmes eqm eqImm ease ***- we q,9
Wawarsaweenemanni Ass..innames saf She wwanlea =:. -- .= -- .

.HH............
. 1 H "*H :
H .. ..
** : .* *-
*: :mn****r t.. .*tl....a .*a..n.

.- . *
H...

.. ..* *
H H= ::H ==

.. . ***.| h2.ta.uil

.1... .
:i.I*. .~. . .mz ..na **. D .B
.: pm: :: ,, "F*i:F ,,,,,

H. ..... .. .... :"
.,,,.. ... ,,t,,.,Dshres.Dt,,

Hg ii" .H: e
.-"" ... } o i

...W........

I... :...
.. ... . .. ...* *
... .. * *
: ... .*..* ...

S... Black. """Black White. Black. White Blak.
.. ..... ... *.. *.. .
. .' .*: *: H

W*. F. .M.-F. A. M.I F.M. P.--M. F. M. F.M. P.M. F.
Mn.n. . .. .. :* ..

5S
.: .. *: "...:. ..

---- ,--- ----

. H. H c... L .

H .j..--

.r .. ..H
.1:.. .- *- .. ...*. *-

*5*

~~. A: 1 - ------- - *- -.- - --* -- - -* -- -- *- -- b *- -. *---- --*-- -- .. -..
*At -*a. 1 -.--a---*-a-.aaaaa*a
1*

..... 1: -Ed-

.. 1 P.Ia&;:*e.ia s ... ***.. ab a .... a ad ... .. t. 1 --1

b.1t c 1 1 . .. i: :........ .. a.. a* ..-- a-- b a--... 10

H H U.. .4*.

Si. *-:-- -- I -- -- - -- -- - --- ---- ---- -- --a- --- - - -- -- -

>; -.. ...2 .. .. a . a a a - 1 .* .- --. --a- - .... .. . S 2.

H H .**4**

.. .....

*.-.. -
.fl -t h ...* he i--s. & -- *aa **.* . at .. c.. 1 .I .. -
,,p ,r

* La.
.-'r --. -
A *r.*.: >1
* I. -

TA~B~ VII.

: .

Diseases.
I -

The puerperal state.

Normal labor..................
Accidents of pregnancy.............
Extra-uterine pregnanScy...-...
Hyperemesis gravidarum....... -
Abortion..-............
Other accidents of labor.- --.--...

Diseases of the skin. and of the cellular
tissue. ,
S- -
Furuncle..........................
Carbuncle........ --."..... ..
Acute abscess- ,--...--.--......-...-
Phlegmon and cellitlitis -.......---
Ulcer of the skin .-.- ------..--
Impetigo contagious. ..............
Ingrowing nail......... .........
Other diseases of the skin and an-
Snexa. ......... --- -- . ---

Diseases of the bones and of the
organs of lpcomo on.

Diseases of the bones

excepted) ..- -
Periostitis.. .
Ankylosis. -
Arthritis&...
Synovitis... -
Other diseases of
motion. .- ---... -

(tuberculosis

- - -- - .- *--

the organs of ioco-
a -a - - - a . . a .

Discharges.

White.

a
C)
-
14
C
*0

02
C
M
p ..

M. F

-

* . .
.a.. *...

Bin

;... ,... ... e1
i .. ... .. 2
IIII(I T!II: 1

*"g" .^ * ..r -. I^
*:. .*'. L f .;< i"^e. >..::*;y* ..
",i m r, tM, ' '"'* ,':i, ^" :" i
* 4 *.** : <.;-^ /Acfr

S. .. . '..: : :
. .*%1
.*1.
i .'
.' '!1.. ^
P .:.*:ii f

:*. .. .. ..

* ** *" i.
St. .11 .
." i. .,

.' I

-- -" ,-:-" ; %. .
a-- i ..... -

4-:: I

* *"". Sk. ""
..... .- :.... -:,
i m. .P ,*
I I. -
I .I *, *' : .- ':
,r

: * t ** .: X h
I.*. .. .. *

**, " .' .: '
- -- -.

..=-. ..=. ,. .Bm
"" "i" ". ...."
A. -. ..
** ** *.i

---- -- ---- .i-- -.*i.."
'- EH 1 - .
I Io I

*i ..
ii a -. ...

*. . . . a<:|:
1 ,- .-, ,

I "! -" .'. ?..

. .*: .. .
. -- C
-" a B --k -:. rCi
^- .- A- ^
.-.-l *.. *u *.
S.. . ,- .
--a- S.. ..*. .. .

- . ...
J 'l :
-= .. .
I H

:I1 : i -
": M.." ., ,"h

,. :, ..:.

: ". '" "

- -... ... -. .
:** *:
..
. .. . ...- -, .... .
i* m-,, . -.K- ..m -sflm

i.
. -. . .- - ~. ..'.'.
l I I .,' A.-
i ii -

I

. .

.. * i

*9 .. : :.... .. *

.un::ha. ... "" .l . -

I. OP.THE PANAMA CANAL---Continuefi.

'.IL:m g .. *

i.. .=r .. : 4 ..."..
-S
i~K~~y '^^ -S-"^ ,
. ** ^^^" Hil ^"l:I '* '* "'

~ Nonemployees.

""RB.' -- .n : .*I'* -

Deaths. Di .

*t' "White.
. A r ** *.

Bla .flnnir Wb
*.
^|Mi : ,":i![j~'i.. .ri',' : .. :*. .,A. f

.. ..

W...... h
( m A. F ::. : i s* : * ___________

: I -. .
S .AM .. :. ..

F. M F. M.F. M. F .
.*s.:. ..*... .. .. .. ** .- ---*
^'i^ :'";;?!'- *. *^ Ttf"lz R nrl

ip=;: ..-*--*: 4q - * --
I "f > *" *. -. S .*
. *K^ : .. .' :

*.: . .. .
;:";:^ ^^ *":!

.K:.., ,~ *2. : I a *
1* --.. * .

t:~~~~~ -n-f-u I- a -fl -1 - - - -a -- -_ - a. -._-_ a _- - _

"Id .
: :... .:*.* : "' ":" "

* .*:** ---* . .- - -
* ... : .. i
"....: K .. : *"
"*. f *' ** .

.i, .. .-/ -,, 16 -.1.. ... ........... ....

:-- -.:" : *: -* -

t .[
"* : * .
.*..nm gep r. *m * *n nmim* [ un n i n

l a i. qu. ,a iga w me ie m ew i i i m em, m ami
:F :: ::: "*:* . **:
.* 1 [
. .., p ..< a- .1 -.. .. .. . .

. .::.s : ::" 1 ":
. ..-
. .e"a .E . .

. *.. .:*.:.*
*: I *
:: . * "

HB *. v '
1^ l..- -** ^ ** .:.. 1 ... .. .. .. . ..
* si : *. *. .m m p m e g' ig m m me a mm a
*I*".. :. .**.:-*- 1. . . . . . . .. . .
*,y Q ....1

. *r i S .* '* : .*
. * .^ *. .
'I ".i 1. ': :. .
S* .. * *': ': :. .!
" *:, ^ . . . . . .* *. .. .. - -
*. . -

. :K ": :i "*". "" ** *
-It y sa'" * *,
"1^ d. ii hi." .

:i i *= : .. ." .
:^ T "" fr. *

Nodnrosidnts.

iscdeare.

ite.

Deaths.

Black. White.

M. .AM. F.

i-l-

... a --

-.. ...

SI I

Black.

M. F.

I I

.H 1
~1S
.iL H
NJ
.1'. 1.1.1

TABLE

Diseases.

Old age.

Senility ---.-. ----... -*... -.......

Affections produced by external

causes.

Suicide by poisoning ...--... ....

Suicide by firearms. .-. .--. .-. .-.

Poisoning by food..............

Other acute poisonings. .--.--

Venomous bits and stings ..

Burns (conflagrations excepted)

Traumatism by firearms ---.....--..

yII.-DISCHAFRGES AND

-..- -

- -- -

- .-

- -..

Traumatism by cutting or piercing
instruments- -..----...-.-------

Traumatism by fall -

Traumatism by machines...-.....

Traumatism by other crushing

(vehicles, railroads, landslides,

etc.)- .--..- ....-.. ............ ... -

Railroad traumatism.. .-. -. .-.- .-. --

Traumatism by landslides.. - -

Injuries by animals.. -.-.. -- ....- .. .-..

Fractures (cause not specified) ...-

Dislocations.-.-. -. .. --.--. --

Sprains- .-..-* --**-..-..-

Other external violence... ........

S

I

Ill-defined diseases.

-' : . .. 4* .

Employees.

Discharges.

White.

i ~
2
I I
I
1
C
*
I
I
I

F.

-I

.....

i .

*...

- S .

"- --

- .I
. e . m

Black.

_." .... '. ""hi~dim..
7- ;*-.... *9
. ...: .. .. . .

".". " h ':
* .. *. :*..: ::':.::*.'..*: '"
,, , ,

.'b-
Hl*..~..l. l* H I
iah.rr.i.i.f

.dll
Wi
.Kl1~..

02

lI~:
- I...
0)
..
S 4'~V. ~
,~ .u~.~rq*

tfl IJI
~ 13'H *I *l..
* I~ .
F.M. LI
A
I, -
- - '-.---.1 -

a

~44

* - - - ~ -. Is..
*. l****

-
. .i

S -

- i--

- ..l

* . S
~;j a~.*.:

* H ~

IHI*
S.-.-. i.'
I.
~
:14 ~~
*1~. .jb
It HI
I.. A
..i~ 1:1
i .~..

.1
~

Sr

lIHIN
H. '~. H
I.

-"I.
If,
flkl.~j- -
H ~
4.
Hl~ .1g.
~,fl.. .~
.1 HIll..
H~**~l~ H

~WHp.

.t. -
-
-~ El..
uk H
aHH..
t II Hl.~
.~.l.l. ~
~1t V.-
* *1.~~
1.'
H

*-ir.. *
*q<
-

*IHjS
"El.
~.Tc*lll.~ .1
I...
It1X!l1~i'
1.-I..
....-z.
dbHt. ....
*

~.IIJ...
~ II
-
* ~ C .1
-
u.s
rl. HH.I
ILH ~

ll.%l*.. I
-. H.

k.Hl *.
H

~1'.

lH~ *
H* ..
H H
1r.;>.
1 i
H. *
Hi..
IflH t *I~l.
k~ .1
* ll~
.e.
~iI~& H
-
p1'. HIll HllLI~
F..
lll.Hll~ lfl
~-.
l~ I H
*
d.H ~
H. *~ -4
I~ % p'1
dH
0 H*H~**lll****
Hl*.
.A. A.
S.
.1 A
H .*Jil
i H
NiH
NH. H.l.H ..*
1~tl
S.-.-
HI.l..
~ll.t.I~HH
H tfl.
K
*aH ,
H

14
~
II I
11$ ~1 *
..;l.

rw

T.. Ca 4 S aS 1 ... .!....II .. ..

I I I I .

I

g. -'THE PANAMA CANAle-Continued.
illW "iiiii * .: ' < *. : *

w. *' -
4. IH.H..H..ihi.H**d**r ..-,.-.--.-
aUJJUEIAjJJ.U3cflfl.
.4

"r
H
-- I

.Rc .
A
fr' 1* 4
V
N...,,; .1
...t
I
NH...
"rn
tHE
k K'.
HA~

- 4' A

'F- ~. -Il ~jr
-, V
Hj4j

it H ~ ii:. qEH...

EE~*H.. ~S #H b

k!" ~..

~ -r

Iad[t*~I

Jj*- ~ *a.. ... -.

I..'.:

H **n*~**~1 *~v.
~' h

Ii: ..n
r
*
A.
I

34.44* a~ I I

*a-

Black.

I
I

I
- !F
*

-

---i

F.1 "M.

:::5:::

Nonresidents.

Discharges.

Deaths.

White.

Black.

Wrnte.

Black.

F. IM

IN:
d..ii I
HHL
.1,.
q. *~...

I'i

,*

r I

I *

I *

I

ttLBLE

White Amerians; F= White foreign,

ANCON HOSPITAL.

Panama Canal employees.. -.... -
Panama Railroad employees...
Soldiers.-- ....-. ........--
Panama pay patients..........
Other pay patients............
Charity patients...............

Total...........

coRozAL HOSPITrrAL (NSANE).

Panama Canal employees.. .-....
Panama Railroad employees....
Soldiers- -................- ..-.....
Panama pay patients............
Other pay patients.............
Charity patients-................--

Total.-....

Grand total.

coRozAL FARM (CRIPPLES).

Panama Canal employees.......---

CHRONIC WARD.

Charity patients...........

COLON HOSPITAL.

Panama Canal employees.....
Panama Railroad employees...
Soldiers.----.......---............ -.
Panama pay patients..... ....
Other pay patients............
Charity patients--.... .... .

Total...........

PALO SECO LEPER ASYLUM.

Vanon amar no ~n na~aa

Remaining
Aug. 1.

I

7
1
....

21
3
75

AdiUJ

15
11
5

. .. -
.h *^ ^
*.:"I^

hir. q11we'*:.

-*A a *r **A

... "i "':;. L "

itte.d. ..
-.
*A *X ..
,. '."^'.i E|'

41

38

. 7

10
1

I~Ji

VIII.-CONSOLIDATED. HOSPITAL: ; P

* .4
t '
*4.. .
iiN. *.r
,~j..
It. ~rL. .
I
*1'*
* .
* -

I.
V
:;jYJ a:.
~.
Si:
-
-

.1
~ h~ *~i
ii..
I..
~
~~!1I~~~
4
a.-.
in,. ~: p.
a,....,
"F;.
I'ka .
.. -

14 ii.!'.
%s.:H$t *~H~

.*
H:. 's'.

**... ~
I.
i3 T..,~ -

i.h.

.A.ir.ti..
It::
H
..i. *

Nh: ?
A
'hi.. ..
I......

i~.
I
H~.
.i -
:'
iii' ... . .
:1. ~ .1.
~ ~. ........
H i*i*
..ii..
.
ii.i.. H.
*
i.
4.
N
I H I

.~.
.4.5
.?i.I.
~ h1 ~ '.
~

S

I

.i ,.

I I II 'I Y .:1

I

T I

I c Wh

**. .j .h *
..* ...*. ..-. *
::..k .* ..
Siir llC .
* '.:* i*": :
5^ : ii=b \. **..
,.i ""il** ""* E..
X:::::::: :::: **:r *:V :*
il!<::* =.2i=::::*".
' ;;. 1M...
...lH ..
H.. H.. .
...:.. fl ..

-.
..fl* L.
.s..
.:.iHk. hi.

i-ONSOLIDATE D

HOSPITAL REPORT--Continued

i
White Americans; F= White foreign; B=

Blacks.

~~11=i~i.
r
r
EHIPH H. H
etn.. N... '.j
'~
N 4? ~
:7.

-x"* ":: I : :: . .
KBi'*h?" *i.-"i ** * .*.
p ..B..** r* :..H i
W* '" H "
Hk*JMi HosPITAL.

.. e erpoloyees.....
.read :employees..
*mus ..t -
......................... .. iv ti nt --...--
........ ..a .ts. . ..

-zxL .,

. i. *.: *
..........' -'.1'

**.... ":.. > .. . M
. 2108?ITAL (INebm E).

.... employees. .-.
...tbtd employees....
- .- *a . *

t.. aients. ...........

- ts..............

tI~~.;HHr .4~ Sr
.. .. H.
IC a........
~ HEN!
*,.... 1~:b
H H
Hill...
illH. I .4~ b4
'I
I.
-
I4HHHH A .1
I.
jr' H
fle4WA iaiwqtrnarna
15 .1
SH H.
::j~j Y' u .n

ttal...........-- -----

P A (CRIPPLE

al emnlovees....

:4 tM'S h... ~*. .
.u1.
K~~.SflTflWr flflCflTn~AW
H qi. 4. r.a.as~r~
r A.** .1
H I
tH ...i~kiLHI:1....,. ~:IIIk~F. -

pal'employees........
Kiro.a employees. -. .

P : -. -

Patients.
ytients..
asntk

^:::-\H^i.^fgiP -- **-*" *
:. ,' ..........
*::.: ,, -:, fS H-S***K *A * -- K l
*q:: .::":, : .:E:E:. ;": "L ,':" -'" .. t: : :;' *if-ii ^ .a *
.:".:|.E:": "fE:^'" ::: =; :EffEg'JW l1 **:" "" :
iss.A....A *o oi 4 'tU

|||S3aO LUPER ASYLUM

Patients.

i. :. *... :

........:...............-.......

::si.L .g i r *-*- -- -
:.'l *!".. ,. "**h :'L '. r .

Trans-
ferred.

- - -
-i

- -I

Remain-
ing
Aug. 31.
i

17!1651

55'312

Average number con-
stantly sick.

15.55
7.16
100.74

34.48
21.19

179. 12

31.52
5. 8 4

55. 97

I

- -----I

1.941
4.00:

48.00o

9.58 61. 68

188.70117.65

8.221 6.80
1.28 .90

20.63 10.75
I ^ J --. ^ *

nf a

2.00
1.00

104.90
81.97

78 58
26.94

292.94

7.55
1.0o

202.52
3.00
75. 97

290.04

582.98

48.13

29.87

8.26
11.29

25.65

36.03
26.58

62. 61

r m fl ll *n - Il

Total.

528. 03

8.55
1.00
1.94
254. 52
9.58
85.71

361.30

889.33

57. 71

29.87

57.03

38.03
27.58

65. 61

.1i .rnt~n~ flr-fl rs lit fn*n* ***~h S ** ~ U t* -l

rw:;sra~a;l

rl

I

A.leon.......
Balboa ......----
Pedro Miguel.
PLso-----.......

Ga-mba.-----
Gatun........ -
Colan........-- -.--

Total

TABE IX.-OPSO^IPIDATED

man-
ing
Aug.1.

Ancon.----. -..
Balboa-....--....-. --
Pedro MigueL -... -
Paraiso.-....-.....-

Gamnboa--.........-
Gatun--...........
Colon.. -....-- .....--

Total......

- - -

27

I 9

Ad-

mitted.

ris-
Died. charged.

-

Trans-
ferred.

S i- .

3,771
1,323

10,878

Re-. -!

mau.1

ing .
Aug.31.

HH*~

..-.iii..
Hill.:

L
* .
Ci.,..,
I -
.
-'p

I-

L4

:fl1.1i1
t.
1Ik~

I ,-* **^ r1= gn:*g *" "
if_ 1 1 1- I I I I I ^fgg
I
*"..- *i.... :. ...
,' *' h.. ". "* ": "e: :.
i i* H***-k

A E ED ,N ,E, ,:'..: ,: ,,.9
ALL CASES TREATED BUT NOT EXCUSEP,.. *'=...:!^
.............. .. . .
.. .. .. :...3E:........
. . . . . . . . . .5 ...... .
I |... 1. .

Employees.

1,324

3,724
1,533
712
100
232
2,346

9,971

3,987
3,809

2,032

2,110
326

1,108
8,727

22,099

Total.

32,070|

I
1,531
4,120

1,333
901

1,932

10,421

Total.

21,299

I *. ..
.: .:: *:* J....

rw.1

an
ILL...

EMPLOYEES TBlATED IN A-QuBR sR .

.Ai. m;..

H ~*iS *11:.:*
-. N.H
H ..i.i.*H N. H
:7' _
.~iuiiiILu
** As-i
T
U.
-
1%~~~.i~..........
.I:~i.I

"... .. ..:
* i "* i::::
* I I
: ." r ^ B i ^
:.: .". "W..
.** , ,,,

. .. H....
** ~ l i
* : :, ,,
-. .
v ,,'-I: : it .
=' ==' jig

~~~pgWsr~t5~Fi;~l~::

Nonemployees.

i,

1..;,. -
.7:4 ..~**
*l ~ .
* .. A..
* ..
* I.?
-
I..
,. *l~ *
1, ..
54'.:...
!'; ~ .'
Hi.
..iiit. -
*i. -
-. ......
iii..ir ..
-.
.12.

I

* ..~,Hc:
..
i~rrHH.. ..
-.
rP.
.1
V *.~. .4
it!.: jlqi. *ijif
,w *:*,*.
Etc.'

'ii. C .~tI -
*r.j. .1
..LN .
i...
V
~ H.~
-- ~*i
.....,
ijilen.. .~
**HHH. .
ii.
*i~*i..i.
H
*iifl 4d
HI
Hi.
A
ii*..i I .
.ir*[l
,WH 4
I.
N.
iii. -
H
4!
K '~
*~;: H
*H~j* iii
i~iis
% :i .. 1
*HL 4..
---a..
,...
H**
MI ~ V
~j!rji
Hii.Hi .1..
N..
.jjjJpir....
H
"A.
a
H
*H
H H
.Kq
H
.r1.NP *H*
H
"NA::, a
.1i~
r I. ..H..
Hii.* h
II~

l-A.- -CiNSOLIATBED. AD BS ON REP ORT.
m 4

...-r-; -
"I:.::
*ii*i.
IHI

:: ""

hospitals, excluding Corozal farm and
*: r*.: -- ^-* -- -- -- -- -

; ----.ploy.s to quarters--... .............. .
I! Epoyees to q.-u
th osil::. .be. n o *
* ~m .. ::.* *f
11 admiaons to hospitals and quarters ....

JB, .patients transferred between hos-
i.. fromquarters to hopitals, whose ad-,
aa rt duplicated in above figures.. .........

:.i~ias..:

to hospitals and quarters-....

EMPLOYEES.

emitted. ..to hospitals... .... .... .-. ..
ea^Lmitted to quarters------...................---
* *

.....iionon mnoees.q............
...ransferred between hospitals, and from
'ii!i:ash:. 'aospitals, whose admissions are dupli-
... .*...... ...a o e g res..o..........................-.ao~
*:..i.,.ii i ::, *:: .. *, : .: :. _.a...
.* *** *:: i*"4 i ii. *.
..... .. .
ii..;i; ,... niso of employees.-........... --......-
Igail:.s.ra per thousand of admission of em-

:. .os as and. quarters.-...--------.
. ,,,:,,, ... .- !.: ....... q-. . . ...
i ""i: BBE"i """'^ ";. -,S-: ; *- -: : . -- w

White.

634
353

987

21

Black.

297. 57

Total.

692

1,952

1,879

1,220

1,179

424.94

RI., i :.',: " ; "***.:"
* : : **'**"* ...." *..

B'SE-B.-2CONTAGIOUS AND INFECTIOUS DISEASES REPORTED
.... ., DURING THE MONTH.
.. "..E": "'... . .. .
......... ..:: *:" "". .
". vil'".i 2 / issl.^ i k3 '5" ...**.uu^.. .:s ...* ..

,:""u i < :i: *,:i',., .. .. ;! *..
:: : ::.. . . .. . .... .
* . .
. .. ...
i ::: :. *: : *.

.1 ** ... *yw... ilh**l" ... :*.*
q'A: h f .t *
i.gS F: ,,,^
."iV..:;,.: xlG~ '.'
***nn* -*DI * V JL*:rn *

-. .-

g:..:::.i"...:* ** -
::* .:.::** :: ..* **-*: **

* 4,*,,,, ***- ..*-*- -
*: : .

*.j. ^,k sles .
. *'^ 'S~ i "'J .ra.? '* W'

S n...

epidp.-emic
Je*J f~lci^^. ^ ".s ~*'J *

. .

* S C S -
- - -
-- -e ...m

* -
-mC- *
---C---m
m---m---

cerebr
* . --
* --- -
- ..m

... --

S - i

- -- .- S*~- C*

-w --- -. -
- S -
- - - a
- ... S *
- - -- -m

- -m me
mm flflmm

- -eC - .
- - -m *

Panama.

1
3
a
1

41
2

- -.

1O

Colon.

9
27
- - .

19
-V.
-m*- in
.. ...

- .. *6"-

a

Canal
Zone.

* . -
mmmmmi

Total.

I-

I

.. .. ., .a

I

1,169. 4~*

. .
* :, :: ..

TABLE X.-NUMBER OF' EMPLOYEES OONSTANTLYk
HOSPITALS AND QUARTERS. :
.f * * .* .*.. ".i. ..
*.' :" : iii ':
*. .. : *. .. a .

Hospitals:

Colon Hospital.......-.

Totals ---. ----- -. - ---------.-------
l~t

Quarters:
Ancon. . -. --. -
Balboa .-.. . . .-
Pedro Miguel - -

Paraiso-..---. .. .......................---
Gamboa. -- - . -. .- . ---- . - .-. -
Gat -n........--........ ...........
Colon .-.-.--.-. ..--- -------.-- ...-

Totals.- .. ...... .-..... ...... ....... ........

Average number of employees constantly sick:
W hite... -..--.. --...- --...a .... ....- ...
Black.......--- .. ....- .. ........- ...-.........

Total..

Average number of employees constantly sick, per

1,000:
W white .......................... .. ......----- .....
Black........... .......... ...-...- ....... .. ...--- ..

Total -.--- --- ------- --.-.-.- -

White.

.

42.32

9.47

51.79'
i*" l

30.29

Hospi-
tals.

51. 79
214.97

266.76

10.65
7.56

8.01.
0

* ..:.. rr
-. .i :
/^l~~ "*'t"^tL
Colet&
:, .:/ :iS
-- H*' *

* ......I..
.:
* ::
IQS 4-(.i
.:. :h. ,SA

....... ....
- .-. ..

* *.- .!
i..

. *
: .' .

4v~ 4~H
,

-
H
.4
Qu~rtn
*
. 1 .1

1.*r,".

4<

H

77~.7$

4

.....
*.
. S.I: ."
* 'i .:

. ... ,. .'

'A

-"A'.:..
II.; I
L~iItbj~
Er
II":
-~
I..~H
10
I. . It

"U- rr -,

H
H
4W.
AN$ ...'J.
~
,~4I7.E~4.
-.r.
- *: ..,. V. II
A~j*~J
..*..~ .H*~

j
.I..A
7-

H*III..~~.H
:1.~.
.~ lr!.Jj
I.;, H Hr.,. rrs.
HI**Ij**d
4
C.
flu

* ..~. .

4q~I. -
*
*:... V.':
.
-
F:.....
I..
'.*
S.
V..
..fl .:~
.fl:fl~;. I
It.;:..
4*.* *** -
~ H
*III..
I *I*. .j ji
I -, -.
-- I
p.

.fl--. -'
~H1. ...
fl
* II.
r
*

A..
in..
H-...

....
...

I.
Mr...
.

3~ c~:
A .**~ .4 I'
~iH-
..*I%!y..~ III. hi
~ H
1%.
.4.
.LI~t.

*H'.:HIflI
~ *JYI*
-
-H I!~~I Hj~.**.
- A
m.!j...r, I.
I.
* H..
'
I, ..I~ ~
* .. .
~
S *
I..*...I I
%jI
-
~ .. p.4.. H
IPH. H.:
h. .
rn~v.I.
A -
~, !~
~h
ML :*[jh'P.. .**I
.. .1 9
9..:: ::
.4
H ~ ***fl:
*
a ,
I. I~ H.
~ 14
.1.

TABLE X-A.-AVERAGE NUMBER OF DAYS IN fHOBPP :-
QUARTERS FOR EACH ADMISSION OF SICK EMPTY,
," SHH* H: ,
*~~~ *: .^ "* .i
... .. .&f."a^ X' X'M:.@ "i "i

Hospitals:
Ancon Hospital.
Colon Hospital -..
Quarters:

- I-

White.

12. .76-
6.96

I . I . A H 4x

Blookry.f
BJak. .
: ::", *.
V ,

..2

7.^

I e

1111:1.1111

IllllllLIIll1111161

I :* *i ; " : .' *'
: j * ** fv* C . . :: .. ,..
BATiH RTES .LON'AMERICANSB ON THE
....QNN.GTED WITRU .TE PANAMA OANAL.

'vS'ssi'W :":" "
IgAi *HH .*E ** 4 i. .
::;** *LI
...Hi" ..
H .
1 .t
a r .. . .

...
'HI .:1;. 7 --

-ISTHMUS

Annual
death rate
per 1,000.

1m loro the United States....------.--------.
d children from the United States. ... ...
Sand their families from the United States.
J *i:L A. A

* -.......- ..

'^ fK' ",j S **c .: -- c *
*IA *STTE
iSF.NCIAL STATEMENT, DEPARTMENT OF HEALTH.
1 H11: A*
m .:..*. .

^s:' ..:." :'
-:" *HH". .
..:. .. =****.*.,
.-. ***:' G :* :*
. *-'-V.
.:-.: * -.?*
X!!! ......!3 ".

r- General expenses:
. .i office.. -------. ...
wion alnotments........
. ^'.: U -" -.-
HflB^Afmaj'.aTi ** > m" i -m- u

I1r.. ew tools -

and farm..

* - a - a - - a * -I

s~?'r -

*;='-^XWi' M. W'A

5.. ryinspe
. :; fce, Piina

cleaning,
~.. ee, Colon
cleaning,

I tM .ion. -
n:: : .** :" " .
I..

ctor..a. ---
la --.-. --.
Panama. -
* .. - - .
Colon.... --

^imiion.= ..-.
Yt- * a ..:a

U.:..';
a4 ~ ,I~ *
a'
.
!H. s.,.,~.
.r *.: ...

.. &?i T .O
,if, ', A ox.

tj general exp.enses...

i

July, 1917.

S$700.92
216.70
124.58
212.36

1,105.40

54,164.17

50.
3,788.
4,390,
3,214.
1,994.
8,472.

21,910.44
4,201.56
5,356.63

* 1,105.40

June, 1917.

$982. 37

12.76
1.819. 10

1823.97

34,293.06
7,936.99
4,925.22
2,310.93
1,025.00
.966.39

51.457.59

3'
4.
2,

42,

5a 56. 38
4,086.24
, 7325 44

823. 97
if. ArPM .ra

July, 1916.

.$792.97

.835. 80

1,628.77

27, 385.
6,-143.
'3,803.
1,691.
866.
930.

40,820.72

. 50.00
.3,338.25
,4 254.49
2,680.64
S2,101.29
16,242.80

28,667.47
-2,989.99
S5,265.44

Sn

628. 77
a-ned WaM

~iip~:

*gl I'S .

* 0

I

W

. 'TABLE XII.--ANOQN ROBFPIT

* REPORT OF DAYS'LOST TN Rbwl?1

Hospital:
, Panama Canal employees..... - -

Panama Railroad employees.
Army and Navy... .-.-...-..
Panama Government pay .... --
Other pay patients... .
Charity- ---..... .. .... . . . -

.a i i ..i i
..- -. .-.i
* S .- *
-.- .- ..- . -

Total.. ..... ...... .. .......... ....

Asylum:
Panama Canal employees - - -
Panama Railroad employees..
Army and Navy- "............
Panama Government pay cases

Other pay cases. ............---------
Char ity.. ..........- -. ... .--.......---

- ai-- -

3--

-..

T otal.. .....................------------ --........-----

Chronics-- --. --.- .-.------.. -.-

Cripples (Corozal farm .- -- -- -- .-. -

Grand total.. -. .-----------.. .-.-

Ameri-
camn.

3,
.. ..
1,1

5,553

-- -. -. . . -

124
28
85

297

Si i i .
- --BG- .. a*

5,850

V .t.. *

-, 4 r L .***
'~~~ ~ ~ * .. t .EAn.S?^
. .. .. i.. S
S .. -

Foreign.

*299'
278

.977.
181

1,735

- ...

1,

1,912

* v.~II,

A...
11.1* ....
.
.1 * :r~7.r
4*L.L4~
H
N.

j
4.
- ~ -

2,.
*
s
*.* ~
t I
42
~~
A H
K
.3
Ct 4

- - at
ejggt
I.

- - - - -
297
_____________ As.i.TK:e

3, 944

*. -a --a. . -.-a.-. -. a a. .a

patient per day, $0.4285.

LABORATORY REPORT.

Blood examinations (total number)..- - .........
Estuvoautumnal. -..-..-..-...-..--..----.....

Qaan--...- - - ..- --

.ian-...... .. ...... .....
DTfferentia l cou-ts. --. ..-.-

Hemoglobein estimations......
SLeucocyte counts.-......-...
Red blood cou s. .... -....
Stool examination total number)
Ameba -..............---..--........--
Ascaris lumbroicoides... .......

-a--
iand
- . -

.i..
-tat-

i-el-I

- a- *

- a S

*....*.. .
* a --. .

agena)
- -...

-ia i- -

i -d

". .. "Iy
---
! .* *:.: F *i *<.: .i
* *: "r i..L 4 ilu!

i" .'":" ".x :.:.i ...':

.* a -. *.
: .. 1.. . . ..
........J

V..
- --- -***5* i H4.L.
*,* "!-S -

- S *

* -
a-.-.

---.

--a-
-.a-
---a

.. .

---a

....4
s p. A r *: IL*
,-~~.-.IUtU

'he a L ''
#**' "9,'" ****A"^
...... .." .

* *... : K.:" l

*: :,S iS%
.... .... ."l
.' ~ ..
_.. .:. .

.....:: .
4... .W..-

* *-D a.'a ',*
.-. ~*.4.

S* I *

-- -- A **
-..
... .
.| ..-.

-. *
I
~ 'I.. *
~ -I~'
I ~
i*.i
nV. . C
... '
V

K~t / :~
V....
I .1**
S
...* :4
*
1~ :.S: ,:
.S...

*.**

*4j

it' *..;..rV~
-.
-Jr
:1
t I..
F.
I. *..I*%.:.

N .~*H~*i~
:4.. *!..

*::,
H
.;

S **
-I
.1:1*
~.r..=. .1
H

V.
7,
W IHH*
*.II S.*.
*1.
~.j* lit
I~. H;
~I.
I, '~Ifl. .. Ii

H
. i
'~
hiS,. H .. S.
i*'~ H.
I*I**I
% .
H ~ *
r
.J..A:..
r '. H~ *
I.
.J
-! I~:>w* .1
-
n.j.. Za......
9~.r
'A j.'*H k
1..,.
*.H***.
MH.PEIAq.. .. I
.
I.
H ~
H.V

hSIHAN IONS
HAt

NH

Nonresidents, hospital --.....-.-. -
Nonresidents, asylum...... ......

Average cost of subsistence per

WARD

Balantidium coli.....
Ciliated monads......
Entameba (hystolitie
Guaiac tests ..... ..

** -:il. --ll*..T~g,-III-W-OQN- ~HQBfI'TAL---Continued.
...... ...... .*
.. . ..::* . . . . . .

.. : **: n.* .
:* pme... .sh....... me......g.m....... ... ..... ..... .....
.-* m a. -**t. ot.ba n illi..3..... .. ..

.'6 -1 .- -a -. m .--- -a
*.:..*....-.... -. - --.--.----. -.-....
.. :
W h"* ".: 10* *

as .**S... ,
. ....
.... .. ... . . . ... . ... .. .. . .

4n4IXAL OPERATIONS PERFORMED DfRlNrG THE MONTH.[1

._ ... *. *-** **.
j .4..lw-umaber. DiedA
IIHN..*I
"ih*:*::*. .* .:. .. .,
...... ..H. .L.

.......... ... ......S .. .., .* I:.** .
~~~~~~~~~~~~~~~~~... . i.... ... ... ... ..... . . . . w m m w . m n i e s a m = = w e -= = = =
.... ~a
:" :: ::- -. "

. ::* . S.m .* Sa a ..
.-. -- -.-,'.

.:".: s" ": .:"." 1 *
*Hn **olie **: *" -
i".i. .. Iid am mm mm mmm mm mmple....'mm ulng em l "p~p
....... ...... co m po-nd .. ....m.-....-... . -.- -..- 1 .....

... . 1 iE W m m i ia h mam me m ia misgu m ma smaiam ime lm gi mmi di m aW n L am igm p iaa
.. .... .e..... . .. . . -- --. .-. .-. ... . .. . . .

** .iiF ...*. .*..
HiIH

':. :-6 - ... ""'-*

11 rea -:l.-r- .. .
do be.. 3 ~ -- .5I -.-m.m* -.**-
Hi Hi -:- -): pi-= .i.il p-* -,. p-.

......gi..r .....l.. .......... ..... .. .....--.-*..
.".J :- -,id ,.=s, -. .. **----- -.---.-----.--------...--.--- -mm1
*X 31ofc*t*:. -- -- .- **- --. ----- ... -. - -*

.i i*** * i -i a
ti..n..a.domi....l......- -i-- .- .- "'"' "'"a"

*:_ i: 9 ii *. "a:. -*-*. .
s r:* ..1r --:--:--'""-=" "*---a-;"*
". : M .... .i I I. I i. m I I m m as m m a m m a m m m m I a I m Is l I e a l s e e I m Is II I i I

::am ),:H .: :eno.-.*-..***:*---- ---.*-1-
:**oa ---" "- .5 ::...*a-*-l1
*p**y. ,.. a ain a...... i........ ..

**::*:c..u:o...:pe:cso ,r.tonfo :j
**fl*-***.. ..... .. .. ....-

..-. i" **ill. "
: m : n. .. .
.d. ".". ...' "... 4 ... .' "

....... ..:.
... d. ." .gk .. ...m eum memmmmiomm om m" "m"' "

ii.''**for effe .ts of- :- -e .... .* *. ..
... 1
.Hli. i.". tA M e a m a a m Mglm m # WID1 W g M HI M di m i W M iB 11 51B 4B I 1lg $1 a
@:":5.*, .. .:. e .
8".. .... . .. ....
.i ." " : .
.. . .. .. ."*. "-

Stibmucous resections.......
flerygium transplantation.
Turbinetomy. -... ----..-

Chalazion...- -.....-.. ..
Adenoideetomy.....-.....

Toiisillectom-y.......... .....-----
Mastoideotomy...-...,....
Scbleral trepine.......------

Evisceration... ..... . .. ....

.Irle0tomy.. 0., ..... .-.......
Uvlectomy..................
Cataract extraction........
Minor nose operations.......

Minor eye.operations... -.--

Clinic.

Medical.-.-.........---...-..*-*.......--.-.

Surgye al e-- -.--.---.-.-....------ ---
Eye and ear---e ..m..---..-- -... ... ......

i .... i

ilimimi

.....
- -~~ S

i*I-
*-. -.-

- --i-
ii- BB-D-- G-

Total

visits.

339
32ft

501

1,166

- Tp 4
i: i ft ,
.W ":X
.I ..
. ..
- i- - 1-
-i

,1

-e- -
-i-i-i-

- S - -
i i S i

...l. ...
e-e. -

- i- S -

Total* .- --.-- .-. ..- -
Refractions...-- .- .... .... ... .---.-. -..-.-.-

*. S -.-
..-.-..-

* i l i.i-i i
-.-.S -S -

-S *- -

New
cases

- .- -:
I.
---,.-
&g1 ..IIJ.i4.
K
- ~.q
.I~rL
-
A F
I.-~...
- -. a. ..4~L
..~.II.
.
-- .4k1
s. rr 9 .% S
V
.H
- -. -. S.,
I.
- -
---a1.--
nsa-c
w
SdbmII~
-a
*
-... Irn.fl
*
.* .II.'..r lIE S.se...1I

I.:
*1. 444j
*1A
.. *~
* .*
* . --S

Err:
...> ...tt

S. :k
j r I
.. .A K
* '

I.

260
157

166-

VACCINATIONS DURING MONTH.

Number of adults vaccinated...-......

NumIber of" takes"-..---................

Number olschoolchildren vaccinated

Number of"takes"'............... .

*- .

*. S.-.....S. S --..-..
i ...i.....i ..i ...... i

-S..-
a..a..

-- ...

'~ 2tj~* $44

*Ac
*1 ..
*1 JIrnrsin..
Ida".

~.*.

- ...:i.riPNIPI
.t. .
-- ai.A
r
. *4. *
A~1fl.aJ

** *. " ,i : ."" i3E:
*** .. ** .
T noxr,, ,,,,o xt'wit:
*: . :'.E : ;!::si;::
: :::..::::*, .:::

-** **. *. **
REPORT or OPER A ONS^, "E E< '$*'S ..S
f ." : ,,] *. *"

HI

MONTHLY REPORT OF BOARD OF HEALTH LABVU'ATOS Y*

1 lexaminatinno nf . .'";

Blood cultures (1 B. coli, 1

5 B. typkosus; 1 strepococr
Throat cultures (34 positive

Stools.....................

Urine (9 B. coli; r1 staphyloco

Sputum (7 positive for B. iu

staphylococcus al
us).. ... ... ... ... .
z^) --- - - .
for B. diphtheria;

G.C.... i..--. .-. .
ceus albs) . ....
berculoiua)........

mus; 2' aksphvloWW

.. .. .. .. ....*-.* -...
14 positive repeats

-- ...-...- ..-. -'

. . ./ . . .. iE a Elm
*****-* ***** **! ft

rwh

REPORT OF OUT-PATIENT DEPARTMENT.

tarinindw

'I

'S

,: :*, : ,, **
:. *".." .
.. ~ .- ..

*S ^ -h ** *:

":."H : .. ":
Bi^'fc "A" ir
g ,t,,,.4 *

..

Ifi~i'x,^- .t.' "

b
3 y ..:. . ...

I .. .

!ii.. . *-
::ci.. *,. -..,.: .:

-'K .:... ."

..H .. .
b .. .: ..

3 ::. .-1
S:.. .. * *** .:

jIj.:... "7A
K K:"E:.. ... X

. ... ..* ..
I : .. :: .:
i H ...I .

-.. .. .
II. :- - : : .1 -.
.* .. ..

tz
H. ....... ***....
: ::l ,:::* ,,, *

* ::.*" i' .. *.. i
1 ::ii:* 1",h :: .e
:: : ::... *::. .
I[E. "..":
.. .::*. ** .
S" "* ";'.* .
. .:: ..::* ** *

S... . h* mE '
f lx .: ,::

:i:^:;i: *".;r-; *
:: x K::: i xl* *:. .;
" " : -" i 3:"** -.
:::** : ..'. *.- .. *...
: i'nu '" .." : .. ..

... :..... .. ..
ii ":i .*'.':X

lf.
. E:,,- .

:" .. ." .::..

.. ..... ..
..*::.H .... ,:,.
,s!3"..'... :'!:: ::" x^...?

y"i .l:':i : ...* :":..: :!!: r .,

J ." . .:. .

L It.- : .!.,K'.:>
. . ...:"", ".: "
.:tr Cl=!;.::
.. ... ...
.*. ..
..: ly ..:4,,,,,M,,
E~l:: "~::E.:^.' "^,^

: -.:: ........H
? -f:l.::...HV ::4 : :h
,:"S'" ,, v: v :,

.. ..W
...... .... fl ..
P. E.xi:^:..EE "E.
-*-I. ,--*. **-- j

..I..

r~C~ow

HOSPJTTA~r-.Cantjnued.

:-BIpJza n oV: .

oiBr 0 Corozal far,....
l^^l..from p anaina.-.......,

l^^l~ialt(If temintio-. - -- a

Ht*tibol i. ... ....-.....-
: if m m a e. m i
deterlminBa R...

..Btivolng.....

,lm.i* um* sulphate test-....
IS.1IltiflO=t. -.-
da.srgu1tion test... ------ -
~^^n f ^igld.test.........__..
l".i! t.issuqs prepared, paraffin
.. .. .. .........
***: fAL r v * m e e e m

B, animal, performed (h(

S--.-*-*----: --- -- ---

Iod films.----- -------..............-

h-4$e- od. film s..- .----...-. -. -.
.gfi'HIxs -i .. i -l

ogi
es

* S

-..a.-..-.-.*..... ....... --..... *-.- .-.... -
-* .a-.. . * -11

*.....- S ...--.-...... S... *....--....... S
s, 13; oposmums, 4; dogs, 3; calves,
, 1; mules, 1; monkey, marmoset,

- - - - - . .. a- .. .S - S a .. a
-m--mm- a- -m -m-a - -- 5--mm S -.- -m- ..m-
- - S - S--* . ..S--- ----.
* -- m *5-C-m m- . m.. -S Sm-e. e. -

-, -

med (Mus muscuius, 1,268; AMus nrvegicas, 510; Muas
" .E &yjgtjts 316) --..-- ---- -. ...-- ...-.- .. -.-- ....

ar:.
. .otmbanmea.....*.-.---
frnts at Jorozal........
ito the U..nited States.
^(36.ranajina.. .---.- --
to Colon....-- ....---...-- -
|t6 IParaiso...........
I~p ns...-- -- ^- *-S-*S*.. *- ----
- 1 a* ... a *
AK

alex.

aSS
37
. 37

. 30
m42

an

wd
a-

-S
.5-

SI-

2,142

lamion
l.ii..
..l.i.
.l.l..
- -i-

naii retionstoi. -- .------*---
ation reactions (2 positive with B.

oeo vaccines prepared-. --. .- ..

|o10ia examinations.........
ii ":""" i.in."e points manufactured
eters calibrated ...........
o a eTnamtions.rtd...... ........

MI toS PA -STAZMN OP CO
.... .h . . .

..l..

tgplaoau4.

*5-- - - a S

S. ... S S ... ...

1,162
5
5
7
11050

22
1

IMETMNTS, DImSHARGES, AMD DEATHS.

conuTMaP~fls~.

-. 41 1 1

EE'".. ':.. .. .. ..
.i : m : "
S ii :"" : i : '. " ", : . .

Mate.

*

Ihrmaprh

, n:. j

*
I

"' "

.1

TABLE XIII.-ANCON HOSPITAL-Conti

DISCHARGES.
~ ^

Barbados. ----m.-..........*....
Jamaca..........-...-..........-

Trinidad S..........tm........ -

United States of America.......

Total.....

Male.

2

*.--. -

*...

*-..

Male.

-.-. ..
* -

Female.

*..... -

1 Transferred to Ancon Hospital for surgical treatment.
2 Three cases deported to United States of America and

No deaths during month.

TABLE XIV.-COLON HOSPITAL

REPORT OF DAYS LOST IN HosPrIT

Class.

Panama Canal employees- ..........

Panama Railroad employees......

Panama Government pay patients
Soldiers........-----..............

Other pay patients...-.. ----......-.....

Charity patients. ----------...............---

- --..-...-.-.. -
- -- -. -.- -- -- -

.....i
i.i-. -
* --i-

ii. .i.
*i.l-- -i

-i- -. -i

*i. -.i.i

A. mer-

*146

54

-.... .. iii-

255

43

640

I

...

LABORATORY REPORT.

Blood examinations -. .1.:
Estivoautumual.....
Tertian. -----..... -.--

Red blood counts...
White blood counts..
Differential counts...

Hemoglobin.........
Stool examinations ......
Ameba* ............. .--

-a mi - i - S - -

- .
- -

-i - -i - *i .i-l.

* S - i- - .i-i - a a

-.- -- -- - - - -i*

.. .
-*-.

Well.

Dye

Im~c

*. :** *

-* * .. *;: *j .Ay- ** *
" . .. ... =:.
. : ...: "E' ..: ."

.. .i ,:' ..i^ St~ y E B9a ^ ..:,- .;'"" :.<*i* '

*1! u s. *j ih* jXX B**j~~~i4M j^i~*w* '" E i ss
. .. .+ . "| . "i ,

*' "^,'JtF' .- ,:*": (/""ip^'BS? .:
I

*t . -A *** u l l Ai j 1** i _*
5 -.
*. H H .. * C

,,*. s .... .... : .
i.. ..

.. .* . ,. .. ** . .. *
.* *. . .: .
i.m ...... ....

2*: I .
: *... : .. .

:: .. ..rr. ....
.. ** . .
.e 4... ..*. ...
: .... *&..:. ..... .$: ...." '.:. .. " A..
r r ... V
S-... * :
. .. ..

ad..
I .. .. : .:. E SI .r ... *: N" :

*r * * i
.. .. : . *p : .. : .*... .
S... . *
r !* / ** *uC u "* n l "tt ." ; "* ** 4
I *. v : r: : I .. : .: .

.._____._. ..._*.. : _.: I*. ". ., :. .::
.. .B ^ ...~ .-. "" ". *S ..

S:. '.. .' -. .*
.. .u .... : ..
. s 2 ....

. ... . ..
... *

s..... t. :
6.* .. .. *R.
S i * ** e ^ *^ * A h- *** -H ** .** J
, .. ..& .* .,A ." * ..

u. "" "I
*. *": .. 4 . "

*- *.- - -- *.. ... ......"..."....".. : ."::. .
.. s, ,:t' + .. .

. . *
28 a. ... .. .:'*. *. I.

.** .
.*.. -:.f
3 : .* .. *: "'..i .:. ..... .*

1* 3 . ;.. ( * **:
L, -^ -S" -~. -.; .'.

: i... : : .. a
*e0 I . .. ..A.. .:: .. .. .

- .... ..... -

. ... H i *
.. .. . : "* .. .. "". .. .

** - .. -.:H
.. !: s,, . ,

4 .
50 +. '

.-. i -
28 I.... .. .
,, -, ,, ..u-e, .. *. : ..

.. * .:. ,* WTA ~ *

*- * -. *" .H... b ....... . .:... : :.r
::. ..A...*:. .. *. H
r j j -- * :: 4 w J* :.* :.. *. ...
.. E .., +:. < ':. e y:" . :." 5 :*.:.. .:

.b .I. .. .. r ::. :,
.. 4* .. . r .I
S * * .
*s A H. :.. ss... . .t
=r = = * -:- s rE ...n :n*s:- :.::: *. *:* ~*

... T i : *" .. :.. H:: ::" p -: e .

a A *. r..h.' :I* ". :.:.q : *
. 1 ....... .. *,r ..... ..

/g *. . .. . * ...'**
: :.* i .. :.. i :. .

H...... .......
.. ....
.. . .. ..... .. .... .
: ."**. .. "" ... . .
......... .P
::.1 . .: :-. *
. ,. .. + ..+ .. . .. . ..,.
.. . . ,,. .. .. .
... .... ..
.* ..... .. .. ... .I
,, ,, ,. ,mr: .:. 1, -, .... --i4 : ..
.. ... +, ...:. .. q.*.Mil < li :*.*.. :

..:..X . ..... .. .. .
4.
.......
. ... q :..'.X'..:. . .. ... ... .. ...
...... "' ,,... t
............. X
...... ....,_
i I 1 .IIIIII. II I" II .I
1 I ... .X ""
...... n.. :X
.." .. .'.. '. .... ......." m":. :::."..:...:
J
.., .. .

*t.^ a ,
*:::: ".. : * ** . J*
*i'*I.. *" ". 5

*,,,, ,,, ,5
ABLE XIV".-COLON HOSPITAL-Continued.
* .. : *: *
9"...* :, , *, "

B" """~h'1 T'~ XIV
i.... .. -. Su cAL.. O AINS.
:. :. .. "
.. . .:
"ii:.. : f* ": i "

H. ta ...:-----------.----U-GIC---- OPE.ATION-.-.
.. .
aa .... .-a.-.. ....
,,- *, ,

i i i. i*im

Ie---- ..... -
sfioible.------..
S.Mact;
e:,.radical cure..
0e single, radical

itey. -- . -..- -
TIIhpby...---a ---

- - a a -a a ... .. a a a - .
i. a a a a. a iai -ai a ia a a a a - -

* -. i a i i i a a a - i i o a
i n - -- a i a i i a i a i .. i- -

i.. -.
cure
i* ii -

. -

:1. .- di radial cure

...
** -.
li ^ ;i,,t :nvarions.

... ... ..:. .*. .
.-

i ...,~;O~.. .. .
::::iw .: ;* ..:.; .

M...i'. x:. "0,1:8,'.r arl'.:'J*:.,: . oW
.::. .. . :....:. ..
^::r^tions various <

-i .*.. . * *
".. ^l- :.:. ^. ..:.. ......:* : : *:' : i *
E^ .~.. .^ J' -~ Si' :S< TF 3-S-t -l a
!:::;-'s""^"J^--s. A K D
'^Sx'I'y~~~~~~~~~~ -i ^'^^EKS^^t131" x^ 7

tI-s-
. . a .
... . .
"i *"" ... *
'St^ ^i ..i-^ .*... .. '..

.a a . a a - .a.
*

* a..- -..... -

(dispensary).....

.-SANTO TOMAS HOSPITAL.

Remain-
ing
Aug. 1.

a '. .* ..-- .'"

Ad-
mitted.

a881

Died.

5'
71

Dis-
charged.

1;x:.^":,:";;; q - , ,
:' E-K." ::,:::E::E'. :BJ ::h /X .'.. X" K A'R

' ::r .. : *. .*

NJ."f H .* .las

-. .H 1 * .

"|.i:":.": "^'",w,. * ..* *.
|Sys.. :, ,, ..... ,,,.... ,.:. ,, ... . .. - .

. . .. .
=..,=,.,...4. m. .
.;" ': r
% ... 4*.. ...
S.......

2 I:.* :.-.'. ..-.: ...,
.. .. .i

I,,: ,w .. .. .
S q : ,.. -'.-- - --. .- --"

Number
treated.

123
1,202

1, 325

White.

S.. *
9.

Black.

--* U * -C
i WWWW i i i W i
.p.l......i

Si m I -I -

Other nations.

White.

Black.

S75 .
1,049

1,124

,,,, ,. "
X.. *:..;;."" ". --" .V
%tt n.. : .ieLf furnished patients....-..-.....-

-. tia of patients constantly sick........
einia=- Adtrln tr+a+TltflTt few anai natwent

. *I...

a. S m i-a- ..

... 14,173
I ... 457
In

Remain-
Aug
Aug. 31.

Americans.

.

.

rfl i'

TphIoid fever - - -- - --- - r - ---
Ma-arial ------------ a------- --
Searlet fever -----------*----------
...... .......e
Diphtheria and croup- -.---.-.-..-
Influenza--..-....------ .. ----------.. -.....-
Dysentery- -...-- .....- .---- ....-.- ..... ...-
Erysipelas---. ..-. -- .--.-. -- ----
tLeprosy. -. .- .----.--- . .-.-- .,-
Other epidemic diseses -.,.
Purulent infection and septicemia..
Beriberi .....---....---..--.... --... --.....-...
Tuberealosis of the lungs.... .
Abdominal tuberculosis. ----------
Syphiris. .... ......,--.-.... .....
Soft chance -- -' ..- : .
Gonococcus infetion -..........
Cancer and other malignant tumors
Cancer and orher-mahgnant tumors
Other tumors--. --. ---------.--
Acute articular rheumatism .-.---.....-
Anemia, chl or osis - -------. -- I
Other general diseases.............--- ---
Alcoholism, acute or chronic.....- ----..
Other forms of mental alienation. .
Epilepsy..-.. .. ....- ..
Neuralgia and neuritis .....
Other diseases of the nervous system
Other diseases of the eyes and anne
Diseases of the ears ---------- ... .
Organic diseases of the heart- .----.
Diseases of the arteries... ----.--..
Diseases of the veins ......-.--
Diseases of the lymphatice system..
Hemorrhage, other diseases of the ci
isaeaco nf the nnsal fnaurs

MA sm TAH A api i m I m i mm:l

.". ." ".., '. :" .. ": .' . . . .". ." '2 : ", "
~- --.r-iu
m . .m e m m e w . m m e A m "m n~e .. p.... wiH..ii
k" *U'l

i. .2 'a,."--.; .: ". .- *. :i.
-.. o..rg... .......- ..o..gaT. .
*!!-- - -". : *.

i....... . .... .
'.:
--. -....-..-. ....a..----. ---a.- - -
-- *- -- - ~---- .-- *-*
.t

::::::: : :.-.... ..

of other organs and.of organs n--.,, 4'-:

* - S i - - -

* . - a . .-
. i a - - i
* - i i i i i-i

- -- -

.a...-
ca -l-

I i -I
Tmu]Sa

- --

rIy i

S

r.oneho- One .o a ....s .......... .. .... .....a
Cbrutile 1brocxehiti s.- - *- -- ---- - - *-- ---I
Broncho-pneumonia ---------------- ------
Pneum onxa ...... ..... ... ... .. .......:....
Pleurisy ........-.... .-- --- ......-.---- ..... .... -- -.. --....---
A stlx a -.----- --------m ---- -------m----m m-m
Diseases of the teeth and gums.. ..........
Other diseases of the mouth and annexa. ......
Diseases of the pharynx.. --.------.-- -.- -
.I) iSiBSi xS tdI eji etiis . . -- -. -.. . -. - -
Diarhea and en.teritis....... -....'.'.....
Diarrhea and enteritis (2 years and over) .- .--....
A kyostois ........... ------....---........-------.
Ine-ia pasts---- --S- *- -- .-.- -- .- --
A ppendiettis sad typhlitis.-- -.-.--------------
Ha, intestinal obstructions- --.-..-.-------
Diseases of the anus and fecal fistula. -...... -
Other diseases of. the intestines ...
Cirrhosis of the liver-.--.---. -.-----.. ----- ---
Other diseases of the liverm... .. -,....'...,-.,
Bright's disease (ehrontio nephritis)..........

.- ...**::-. -aS -
... .........A....... ...
.. .....

.. ...: .
ii--^------!.-'----- -,.^^^:i^^

.... .............. -., -:.. .-.
*-. H.J .

.. .M .
S..-n- -
---- -1 -*- -.-- ----

,::: :::,w::::

IYi eI i .I ,II .I i i ii W .. .,i . .. ..
i.. Si".
. -. -.....--,.a.. -.- ..

.. i- :

......... .... .. ......
- -m ll - -- -- - - -- r _..

.ii" .:::f':ilij.il!

. . "i
-- S* -- - -S --*

..a... -.--- .- -:' .

.. *::*...::m
:, J'H r
* .. S - -.. - -.. -- .. -

,:-, ,"i,*:::."* *
- - *- -:-****...*-..i- ::* -.

-.- -.--..--......--- ., l-

. .. .. . . ..,_ .,,,
. - ..* a H" E .

..m.
-a -. .- -- .- -- : .
* -- - -- - *- .--

H
A
H*,.
r ~-' H
'.
Al1

II.

F
1~.
Ba

te"
ien a -- it--- wi---. n- d--a-
ad from the hospital without disease

Itpufengs--
:- ... -......-
aby firearms..
fly cutting or
a by or cru
A. --,--
*h.

s1 violence. -..
eama disease.

V : :i ?:* X E.:: *: f:, . .
*. ttSpeaiiod. will

!*i... ". "" .:. ".. .i . i .?
. is harge dur
among
H.. . -.

EH :iH H': .:"'H.:. ....: \.... .
:Ba::HH .. ::":: .,

~.
.. :". 3, :. ...:. :. .
-; "' H

H **
E:E jE::E :EEE "* ..: *A|K t :
H*.. * :.
.rv ~ H H
H:,'.............
..:....

t::E.1 II.

::..:..l..... l.
:1..

Hliii

SI S - ii- i - *5 i- i -

.. ....... --.....-.....-

defied ...........----..

ng month. .....,......
itients during month...
'ital at end of month....

22

806
76
. 443

1,325

: .dl number of patients treated during the month......

C

tty, ingiinal, single...
t, inginal, single....
.., ntral...........
y, strangulated.l. ... -

aiuiuiis, -inte-rnal... -......
hi d ble, radical cure.. -

e.es..i.o.. ......... -

s, rial cure......
inans, excision of.....
t::. vtmr

'- .S SSm-- -mmmem-mm- U

: ^^~ il~f^^hysterectomiyU -- *
| ... .. t s m*. .. ..*

. l^ dongle. - -m.m-

. ..j:H Fjj
!....... .. . .
":.tr l* ::i :; .

:il:a' a hysteecoteom
-illi .

.. *"...~~gH ..riit gfaf jS * .--- -_

I II

-flcf fl-tODB .- --,-----
...r li
,*: A: .... :: 4h'. *.* .- / *
:&3- :":::XK"-- ::::" ^" f t r C O ~ .

."
.: "::::: .. : .. :. .. ,
**.: *:HHI : ." .* : * "
I.I"i. -.' ..ii.-i o ris o h e .

. u. *:. * *ns S
5 ,::,: ":*"* -** *e _&mm m e
....; *. ." ..*
: !::::: .iM .* * .*: *: *
* :r... ... ..... *
*. ,,,' ~:i g pime ommimimmem '
l5;!^::-*:' **j ^ i r ^ ** ~ ~w .. a .. ..-

--illl-i
i--a----
- -am.m-mm*

6
2
-1
3
2
10
.S
. 10
7

a1
aS
aI
2
11
10
1
1
2
2
2
1
6
8
43

146

,670

36

SURGICAL OPERATIONS.

LABORATORY REPORT.

- -------

.. -

w

54

*.. "Sl....": *ii .
. s- -1"=-Kii.!! :4E 1 !j, .I~t!!!*S~^~~
H ..*..1 **
*k H. 111!: *h ***
*~~~~ ~ t.*. i: :: *S ... yf" jS..aeB 'n
41111:=-..i.d -H-..H
: ll -. ..---:. = ,
.-:... ]=--I:..: r' ..
..........................-.- .g-:;.fl...
.A. *:*: t ..

- -- ., :p .: :...IlB G*

1~

.~rHH
.1 A. -
.4:.

I...

Sputum examinations...........

-B l-oo < e. ..-_.o.s ----,. .""-- -*- ; .. -1 4,, ..
Poi'etiae ." ... ..."... - . .* ., .. ..-.' --A"-- -" .' .,.--- "*..-"..h". "tj
1r a --- - --- m t- cu- s---lturesr-- 9 ". -. -i s:.., :
m~~ .:* *:.v *::. *.. .... :::^B 'A ^B f .*. *-
--.. mm m...n :..*: : .n*'
Estiveo-autuio Ip. -. -. -...-.... ...- .... -----.. -"..-.--.--...."
ohitie blood counts.c *-.. -.-.... -......... ..." I... .
iii ifierenitial count s-. - - n .i i - - - - - i . i i ... -
WTasserma reac a tiors - -* **-*- -* *.-gi- ..":*?
Posiitive.....b..........................-- .--... ...... ...- -. .. ..
T h r O t^ *l *r e s m m m e m e seJm_ 'm m e m*'sn e s e m e m e m m e*e' m mm .' .. B: i~i ..** *

Positive for leprosy -,.
Throat cult imres -- ... - -m- .. *... ...*. ...
'osit iTeW fia ---. Tib .Ikj^G^'rWd!.-;1- :
S-- - - - - -- --- --*.- H *-. .. g ; ".... ,,-
I'OS IVy for gonOCOCCI -I- - -*-*- .1 - - -*-****-***- ** *- *- *-** - *
Boodi e fores"os -.. .""..............*....................................*..... .1. ." "
B loodt es * - -- * -** -*-- ***. - *:: ;: *:--* :-i!** *!' -i,* j ,
O O iS ... .i i.. .i .i.ii.i..i ... .. i.n . .... i......I.. .. ... . I

Pe r pO sy- -- --.--- -- --- .--.. S -* ,- : -.4ill -t... .
W idals react ions *" "'*^^W^J<,l~Sil:~**:::*' "

Surgical tissuess, o . -.- -..,..-....-t.. ......... ....
Surgical tissues, post-rmoedem . -...- ....- ... -. ... .. .-.*a. .. -.. .. --.. ... ... .. ...:. '..-
.-* -. =* : -1
po.'m om : ........ii"i..

TlABLE XVI.-SANITATION. -. -' '*'.1 ^S' .;
.Hh I.r' c* **.. :: : *. s **. "
- i- - -.- --.-- - -.--i-- -i- .-." .. I..
Work. i.r.iqi.eisti .on. siu.ipi.y d.epartmien. i: i i . =
T LVAe g " ..........................................................

rsc reling...................................................... .... ,,.,.. .&: ,. *
^^ ^^ jE4 f jt'* 'vi *. '* *~i

Work requests on mupy cipal engdeerg dpaartmentrtme..nt: ..----<4.. .*- :1: *
NIl a eu* .' -- *- -- -L - At.r 4-!H, .~. .....: "**

Work requests on other departments .... ............................-. -. . :". .i- :.;
1t0 c osin spected". .. " .... ... .'. *. .....:..
W ota r k reqes o h de,* p tes" .... ... .. ......
. "" "C :." .i.::.:. .:. -
E~itclos ts iisib c~ea- - .- -- -- - .. -- -*-. -. .*-. .:.- .* .:.* -: ..;#*M*.1* I ***

B n op s S nse c tl ...ed ........q ........... ..H.....................".,... ..." .. ..-
or s reen iii~ -- -. -- .- -. -. -. .: ..--.- -.--.- -..!M*
F or si .- ---. - -.-- --- -... -.- --- .-.... .. H.... :,.
Garbag cans empted" "" "*, C* !""
or general san. ita ion -- ..- -- --- -. . ..-. -- iI- - . H . I ......
.ose s..e.ted"L.......... .... .... ... ...-............................................. ..il

i i i i " " ".. .. t g..=N i" = "
ofe ta ....-.- - -* . i... .i . . "

nm~ i'io ~ / I d P i I n I I I m i i i d "' *r "*....r? ^ ^" *" y ""n.' ^
N u m b e r o r ato s I 8 ee. .r .- ..---.........U..-.....-.-. A .
J" * i . *** 5 |.=.5* q = ..** *, *******
RShops inspect o: mo.qmto.. de oye mdw..-...g:.".-".!-....-1-.1 I;. *"
--be-ep e .. .--- . . . -..--.-.-.- .. -**.-. S .4 *.' . ..

U ............ ..1.
A nope l c ...io.ser t p t ie -a M :-:- :.. : .......
.S..... ...... ............ ........ .............................................-.... .... ......... .. *":: p..:. .
Ce-...---,* *. -.. ... H ... ,.. . ... ,

t .... ............................................................... .. .....
n_ J
Itt-aJ ~ 1 0 -d c -^Ll -i- -LC ***** -*-**-*-***-*** *** * *-* -w .fa af'lg B ==" ."

I ub.U ..........-...-..... .... .-.... *H. ............
Nbusbes diofemoquteed d-- st.- ro.ye. d in -dwe-llings: -- .-- -.. .'-i. ***** I
A i .i. .i i. i i..1.... i a : i..*^l ... . ... *l l ... .

.......l.....................................'............................................,.-.4......
Number of rats destroyed.. .. ............. -....-..-.:: .. H.. .
Number of mosquitoes destroyed in dwellings: 1 .,v.. iicnly
tego mheyis -- - - - - - - - - -- - -. -. -^iS. fi

--d .. . . - - - -- - -- - - - a .. .!r .-:- .:. .. .. -
m -a lf \T m O'.< : : *'.'* *-:* S fJ .iSi.ii :***" li "i "*ai, i..
.................................................................. ............, ....... i i .gi.... ..r ..*...

C*ex and manso:aH i H..... .....i .H

erosene 3 -- --- --- ---* -- ---- --** . *. J.. . ... -- .... ..-
Crude oil, gallons...-..-...... ...-........-.....-.-................,-..,,^... .. .. :=i.
4 .*. .H i.H i L :.
}}4.1. . jH i". : :**.11
-* **** .. ..x. .. : *. ..*F H-K'"- *" *a *;
*w J c* HII*I "H : h. ^. r;. F ::l.::I **
^k *rujswiit.. _~iji s -- *** w* *** r** -- ** -*** * ***w** *k....."I' .* -^ * <"Ei~ii" iif ii i*:: .".Ed!iii:i':;.ir .:*^

ii:: i i.l pt.
Hr.. ""H
* * * : : n .

I.-.;3is^rsa rn sec---.-- ---
., I. :*: H".a*".* I
.,. . *:: : *
*.*. .. . *
.-- ... . *.. *.
I. i.. t:s"'r"" "
*r : ::j I. ..*.... ..*. H ..... ...
S;........... .. ... ..... ..
ii "' "..:. *:
.:: .* h ...:' "* K "

H : .
.-TABLE X VL-S ANIMATION

*~_^::- i] : ""iwl*]U UpE .UT l .it I *L.I.
i ::.d .: * .* :**.'af :. i ^u m iT ri : .
.i .' . ** . * *. **
p ...- g th
iilk vendors, etce. a.. - --.-.--- .-.--
WOI'. k8nd r, etc. .......... ... .... ....... .
+-Ni~"+:++++:"" $,11 .s, TOr staurants,'" ... .. ....e c "....."......"'"
.:....I ps et... c....... ........ .. .... -.... ....-
". buildings:

i e of- buildings inspected. .......
... tir:new buildings approved....... .....
(" *';: rr sssu ed to repair od buildings..........
H .. .I ..
"me'--'ed Mt- gabageedu ads,2883)

:te o f na.. .H .. ..;. ."*.. ..
"ts"ped during the month:

Iiitt5,rzbi"e ga.c s4 -'* -!^ "'^ ^^^ ^'a*- .f -a j -L -a- ---------
... .. .......................... ....
-..........a .. -a-nai. - a. -. -..--.
-::, -:1o ..l th" eemovem Paomnth -s

(:* :'::" of. Vgcinations made during the month..
r. .. :.*... i
+L WORK REPORT FOR COLON-C

.Gol~on- Criatobal:

"E... ... .. ." "
. :tare .ars redetrcleeteaed..... ......
r........qdsalleysintaine.
.. ..*n mniber-of private properties cleaned .......-..
S..H. ; X: rnher of rats c aught..flt....de ...ed ..n ..olo ..
1; .... laas of yard garbage disposed of. Col-...

inziber of cans garbage (cubic yards, 2,883)...
*I~.AtI~JI.. t falds ditches constructed (cubic yards,

I ... *
*.... H* ...i Oof -ld i ge plain ap -i-e*.--*.....

. cso tVegetLi removed, PssedR.R.res
ii~HS "flb r ofreseptreetclesned

I:" of builldings inspcteed. ----- --.

of nveg ogalons eoiov mcde ued Rin. C ..e
*.t h '. W be r of graion reotioe ousad tin Catn ---

p-" :enof builtes plan atdiproedl. cmnne
......... I ,. St o c tp ........-
ilc.'l c- --....- ,.-.-.....- ..- ..-
.'. 'Nmer of yew, gaconeionspmade duringtne.
.'.jl numboe oallons madrede (cubic to datl.....-3
-~ ....-.. O B"CS' a
.... "...." .. + ,mm )mmofmtchesmamtmne

.. .., bar
H "V" at-hof ueowtcdiin leio roama cnec
- OLi'l- rl!l~ is of Veermatio tomocendsud.--..... .. Panama-R -R-. re-
"-:" 4", ..-.g*O I1 S O O RT su d
, :, -:. . .. .. ,,g

." ". b~er of galloneios oslmaade usdurn Colon
)iF .. ..... number oerf nofegalons mfcd d ued o dolon """
Ni' """...,b.er. of hoases anbateh ddiolcm t

"...- utstanding npermnitsq
... .. S1 erof cans garba
as :.:. ,... ja of yard garbage
l : :..=. :.....
I'. ......
r:' 1ol......"
N fflaer of receptale+
E u * ..h.. ** .... u * _L

-Continued.

5, 495
525
300
369

RISTOBAL--MOUNT HOPE.

4, 200,
702,
5,

*.-.-
-..-
710)

ervation, Colon-swamp.
servation, Cristobal ....
n - - ..- ...- -

a
*.-

-m m i m m m m m m m m i m-m- m m- a am
a m i i *. - m m m m m m m m m m
*.- a..a -. -a .a -
-m- -m - -am-ama- a mb- -m

- -- -- -- -- -- -- --a- -- -
* -a -- a- --mm- m-mm- -a -m -m-

aonth..

i'no were made.

-: .. --

cubic yards, 745).

Treated.

- a a 4 -l m m m - - m m a m... m - i - a a -.. .

- .. -... ..-.. .. a-a---a--- -**- ... . . P -

3
140,350
97, 500
10,801
184.6
750
462

4
7
49
156

5
1,437
1
50

14,445
229

6. 100

TntBL -KVI.-ANITATION-Coluti~3I

S. M. Q....

.1:-S
r r..
*
-.5
.4
. *~ ~
*
4 A
S
I.. ...~
.4.

:1.74: 4.
.~
-----
.~

~W Sq1.

~ *4*

:VT~.:i... lIly

....:
I.'
-. .11 ... -

.~EE. Si
.'

" .*
S. ***.
:~b .

:1

2
*.. a
A.
* ..:ipIj::...
h....
......,.4-*~. ,.%
.4 .i:
U.. *
aug. *
S
..4. ibj .. ~.. .4.
-. .~:* S.:.
-~ ,~..)

I;
K.~: *~
I*t***i. ~ I.
.*= %ii...
-."9..'i* r%
-Ed
..... *
.1~;fl..........q~*
.A...IC ~.r, HI
~1'j~
~E.p
WE.qSi~ ~.AEE h'
Eft
A...
Li .~r.:
* a..... .. *~ *4~4
.qI:~.. ~.

Gallons of crude oil used....
Gallons of laryacide oil used.
Linear yards ditches mainta
Linear yards ditches constru
Square yards of vegetation r
Number of burials during th

TABLE XVII.-CONSOLID

TIONS AT
TOBAL.

THE

POR

Number of vessels inspected
Number of vessels inspected
Number of vessels inspected

Total number of vessel

Number of supplementary ii

Total number of inspew

Number of vessels fumigated
Number ol vessels fumigatedc

Number of bills of health issi
Number of bills of health vis

.* 2 *': ,, ,. * ,
..*

... .,, . ............... ........ -.
*. *
..
cted (cubic yards, 804) -..... .. ...... ---... ''"
- - - ."
emov "7 E
B m o u t - - -- - -- -- -- --. -- ..- .- i-,-. i.:1 ..i ^:14o~dE* :.E***..:.E*
.. 4 m ..... ................. ..E. ...
E* rr.,* .. ": 4 :. .
_* : .r K 1. . :.h: *A.: X:.S .. :
I*":'I **.S*AEI :. .. *".. ".
....:, *f ,,| . :::..-* ....** * .:
.t~i.
'ATED REPORT OF QUARANTINE -..-"
T8 OF BALBOA-PANAMA AND CoQ ii. : '
.:k :.. .:* 4: A :": *"' ", ** .
S-.* ..A*. ": :: ... .* *I 4 .*
J H..: A .

an d assed ,.. ... ..- ... ,,. .. . '..... ................ : .

and detained in quarantine..- ----. --- - -- ,.. s..
and transiting canal in quarantiunea -. - -...r \ .

ls en ered uri..................... ........ ........
anJz,,,*1 1 ::
,: ~ ,, a^ ,*l*:":H '"^ ,, 3 :h " s, ,,^

onaria..................................
prio to eparure.................. *.
Is entered during the mouth ----.-..... ......, .'-4;. AAS..LS. I
SE ;, ,, ,,,E,,, ..S.*! r* : : S:

tfions of vessels d during month. -,-- .-.:' ^il

- -: : - S

:EE ,, ,,,:,,,,, :, ,
P..orae-aj . to, dep rt re -- 5- .- -:* , nr -^ -ly -. - -j -c;- *:;; -yg-! .a .-~.
,,,IE ,,,h , s,,
a1 o D e .. .... "":: il : '4. '' "aB 'e a

.B_^** .*1 a i w *** u S iT ** E.* K A
. . .... . . .. . . . ..
and" detine m^ o*rnm -" -^I" "" "'K """ "J|

" -- -"-- - "-'- - -- -".'-, 2 -- " ".. *"

6 e d~3 .* -** -* -* --* *v **f -s -t -HB il * a -
an d nsltm..............'e.. ... ......- ,,: :s....-w~~ "jW.......,,..:."

*.: ..s. ****. ** *! .*
S.*. : *...... .- : sl .f.S.. E A *

Number of crew inspected and passed.....................
Number of passengers inspected and passed. ... ...--.......----

*b:,..S

Number of mosquitoes caught, 10,005--

Barracks..... --------
Cars.-- ......---...-......
Mount Hope village.
Sub. shed... ....---- ....-

P. R.

I. B..

.4
*1
.1

I'
.5
itl
1:1

I

A
II

~LLII'~I~

,.. . .
t II ,

i .::THE .PORTS OF

rtintinued.
.ihB~ i p'f* a' *'
*** :: . "

aons detained on board
er and bubonimc plague.
HN
E::.:.i ":
* i. .

REPIBPT .OF. QUARANTINE TRANSAC-
BALBOA-PANAMA AND COLON-CRIB-

vessels to complete period of incubation
a.a..a.S.-.S.-.S...*.*.-.*.*.a.a.a.*.*.-.. a

iber of persons detained in quarantine..................... 1, 965

..".. .' : 713

.*-.---- .-----aa. .-. . .. -- 1-2

,.*iMPersons OU departing for coast towns in small launches and sailing
- 1
*f ersonsin transit for Pacific ports, not passing .through Canal.... S
..g personss in transit passing through Canal. ............ ..... ......--- 624
e ns transit for Atlantic ports -- - ---------- 372
tinnimg:ants rejected and deported- ...f. 32

alSTION REPORT FOR THE PORTS OF COLON-CRISTOBAL AND
a, :: .... BALBOA-PANAMA.'
: ':: '.:. .:: :.i .: :.:.* '*". H
*:.. .." l ,F
S.": From- Cabin. Steerage.
.. "*:*. ...:.:.. 4
*!!-ui" : *** .

..l.... ." . .. . .-"'''" 468

...-.***.**- I- --. I ---.-- --- .... .- 1

49 202
a d West Indies (not shown above)................... 4 2
..,.. -'.,'j _m mmm mm-m mJL I ^ nmcl

k
1r4E'.
..
H ATflmrl0
Iv~4~ H
"H
.AV ra..ainaa.S.
4...~t. .

.P~.
--
A
~ ~- W.* S
I'
., .... ,,
H..*E ~M~i .* *
sI!!~.
H I.-..
...........................
12'*IL.~I H..~ .ru.. .
- I . .. ..: I
i,:rjr~,qHJ %..
~
.11

-
H. A
irs.
ii
jH iEs~~ui5*U45j,.... UI*M -.
LV

lim'""-" l, ,,
.i... ..*
., h :, l..
di* " *

I-aii..

iI i IIIgu el

.... ... .
* .. i
* -i. -I
iia ai -I-
iI..iI.I

-eai a mI--
ImememII
* i I II
-ii iliI

E~no

102 138

4
8 4
12 4
7 4
6 4

765 637
1,402

-m- mS aa a.m-- -- m- ma -- a- m*- ma- ma a S m -a --mU*m-* S a am-- -- a
* *U --m- -a am -at - -- C a -- - a -m -a - aa -a *- -a -mm-a a

768
426
208

1,402

1, 635

, S
..i!"....!.i=:=

TABLE XVI.-PERPES ONNEL REPORT.
-~~ H.'* I I

Chief health office.......
Medical storehouse.......
Quarantine division......
Health office, Panama....
Health office, Colon......
Ancon Hospital..........
Colon Hospital...........
Santo Tomas Hospital...
Palo Seco Leper Asylum.
Zone sanitation......... .

Se--.
----S

Corozal Hospital and farm..

Dispensaries:

Balboa.. .-. .
Pedro Miguel...
Paraiso......

Gamboa. ....
Gatiun

-I

.......

. C . . .

-..- -.. .....

*... S -- -- . -
- s ... S...*

* ... .
* a -

5SS*S**S

-. .. .* .. .*. . . S .S *S. S S ..

Totals.............................

1
I
1 Includes Corozal Hospital.

August, 1917.

Gold
em-
ployees.

I
Silver
em-
ployes.

Total
em-.
ployees.

1.080

S Corozal farm only

It

.

*j1H
V
hi H
'a
C
p., H

HiSCECI 4~ A
H~
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A
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H

2:1 *'.
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uiir

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1

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..* :- .:..... *:

i. . .. .
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k:.., : :'.'.:: ;/

.: :. ,

UNIVERSITY OF FL. : i."

3 1262 0889,

	Front Cover
	Title Page
	Table of Contents
	Letter of transmittal and general...
	Vital statistics
	Division of hospitals
	Division of sanitation
	Quarantine division
	Statistical tables
	Back Cover

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